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 May 01, 2024 if Ground shipping is chosen
They will ship on Tuesday April 30, 2024 if Express shipping is chosen

Recently Viewed See More

Affordable Care Act Form Blank 1095-C w/Instructions

Starting at: $19.20

Color Label 20UP 4" x 1" with vertical gutter (#3440)

Starting at: $103.70

Door Hangers  3 Per Page Bright Color Rainbow Pack

Starting at: $163.80

Color Label 1UP 8 1/2" x 11" -2 vertical slits crackback (#1000)

Starting at: $103.70

Color Label 10UP 4" X 2" (#3000)

Starting at: $103.70

Color Label 6UP 4" X 3 1/3" w/1 vertical perf (#1700)

Starting at: $103.70