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 Monday July 01, 2024 if Ground shipping is chosen
They will ship on Friday June 28, 2024 if Express shipping is chosen

Recently Viewed See More

LS-ADDRESS Template for Microsoft Word

Starting at: $0.00

Burris EDDM 6.25x11 with perf Template for Microsoft Word

Starting at: $0.00

Burris Blank Postcard Template for Microsoft Publisher

Starting at: $0.00

Fluorescent Label 2UP 4 1/2" - CD Donut (#4061)

Starting at: $100.62

Label Sheets LS-4B2

Starting at: $40.33

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

Starting at: $100.62