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 May 27, 2024 if Ground shipping is chosen
They will ship on Friday May 24, 2024 if Express shipping is chosen

Recently Viewed See More

Color Label 30UP 2 5/8" X 1" (#3642)

Starting at: $103.70

Burris Blank TriFold (Large) Template (Landscape) for Microsoft

Starting at: $0.00

4 x 2" Thermal Transfer Label Roll

Starting at: $24.00

Burris Blank TriFold (Large) Template (Portrait) for Microsoft W

Starting at: $0.00

4 x 6" Thermal Transfer Fanfold Labels

Starting at: $31.00

Burris Blank TriFold (Small) Template for Microsoft Word

Starting at: $0.00