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 April 01, 2024 if Ground shipping is chosen
They will ship on Friday March 29, 2024 if Express shipping is chosen

Recently Viewed See More

Poly Label 30UP 2 5/8" X 1" w/ 2 Vertical Perfs(#3640)

Starting at: $281.47

Door Hangers 3 Per Page - Perfed Circle - Baby Blue

Starting at: $36.00

Burris Blank 2UP Double Postcard Template for Microsoft Publishe

Starting at: $0.00

Every Door Direct Mailer - 6x11" - Standard White

Starting at: $23.67

Label Sheets LS-A w/Perf

Starting at: $40.33

Inventory Tag Display Sleeve 5" x6"

Starting at: $11.00