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 May 28, 2024 if Ground shipping is chosen
They will ship on Monday May 27, 2024 if Express shipping is chosen

Recently Viewed See More

LLS-4X3 13 6UP Name Tag Labels Template for Microsoft Publisher

Starting at: $0.00

Label 30UP 2 5/8 inch X 1 inch w/ 2 Vertical Perfs Template for Mi

Starting at: $0.00

Label 2UP 6 inch x 4 1/2 inch  Template for Microsoft Publisher

Starting at: $0.00

Label 10UP 4 inch X 2 inch  Template for Microsoft Publisher

Starting at: $0.00

Label 20UP 4 inch x 1 inch - vertical gutter  Template for Microso

Starting at: $0.00

Label 4UP 4 1/4 inch x 5 1/2 inch  Template for Microsoft Publishe

Starting at: $0.00