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 Tuesday June 18, 2024 if Ground shipping is chosen
They will ship on Monday June 17, 2024 if Express shipping is chosen

Recently Viewed See More

Blank W2 Sheets 4UP w/Instructions

Starting at: $16.78

Print On Demand 8UP Postcards - Key Lime

Starting at: $84.00

Door Hangers 3 Per Page - Perfed Circle - Premium Heavy

Starting at: $54.00

Four-of-a-Kind Heavyweight Color Postcards - Baby Blue

Starting at: $48.00

Four-of-a-Kind Glossy Heavy Postcards (Laser Printers)

Starting at: $60.00

Door Hangers 3 Per Page - Perfed Circle - Key Lime

Starting at: $36.00