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 08, 2024 if Ground shipping is chosen
They will ship on Tuesday May 07, 2024 if Express shipping is chosen

Recently Viewed See More

Label Sheets LS-8X3.5

Starting at: $40.33

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

Starting at: $49.00

Four-of-a-Kind Standard Color Postcards - Sockeye Salmon

Starting at: $37.00

Four-of-a-Kind Heavyweight Standard White Postcards

Starting at: $52.00

Integrated Forms for USPS Click-N-Ship ®

Starting at: $40.33

Label Sheets LS-3.5BL

Starting at: $40.33