Affordable Care Act 1094-C Employer Health Transmittal Kit
Affordable Care Act 1094-C Employer Health Transmittal Kit
Click Images to Enlarge

Quantity
Number of
Lot Price
25 $37.50 
50 $61.25 
100 $86.25 
200 $133.75 
300 $175.00 
500 $251.25 
>500 Call us at
1-800-982-3676
or Email Us For Price
Quantity:




Use this transmittal as a coversheet when submitting each batch of form 1095-C to the IRS. This kit contains all 3 pages of the transmittal.

There are no templates available for this product


Any tax forms ordered today will ship on Wednesday June 19, 2024 if Ground shipping is chosen
They will ship on Tuesday June 18, 2024 if Express shipping is chosen

Recently Viewed See More

Lab Testing Forms With Labels for Labcorp (8UP)

Starting at: $40.33

Burris Blank TriFold Brochure Template (Portrait) for Microsoft

Starting at: $0.00

1099MISC Laser 4-Part Set

Starting at: $26.40

Four-of-a-Kind Utility Bright Color Postcards - Sonic Green

Starting at: $64.00

Four-of-a-Kind Utility Bright Color Postcards - Tangerine

Starting at: $64.00

1099-MISC Envelopes

Starting at: $16.00