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 29, 2024 if Ground shipping is chosen
They will ship on Tuesday May 28, 2024 if Express shipping is chosen

Recently Viewed See More

Four-of-a-Kind Rainbow Pack (Bright)

Starting at: $152.00

Four-of-a-Kind Rainbow Pack (Standard)

Starting at: $142.00

Color Label 16UP 3 1/2" x 1 1/4" (#3381)

Starting at: $103.70

Burris Blank 4UP Mini Note Card Template for Microsoft Word (Por

Starting at: $0.00

Burris Blank Cut Note Card Template for Microsoft Word

Starting at: $0.00

Burris Blank 4UP Mini Note Card Template for Microsoft Word (Lan

Starting at: $0.00