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 Friday May 10, 2024 if Ground shipping is chosen
They will ship on Thursday May 09, 2024 if Express shipping is chosen

Recently Viewed See More

Return Label LS-6X4TC

Starting at: $40.33

1099S Laser Copy B

Starting at: $11.40

1099S Laser Copy C

Starting at: $11.40

Lab Testing Forms With Labels for Labcorp (8UP)

Starting at: $40.33

Affordable Care Act 1095 Double Window Envelope (Moisture Seal)

Starting at: $13.75

Lab Testing Forms with Specimen Labels (4UP)

Starting at: $40.33