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 Thursday June 20, 2024 if Ground shipping is chosen
They will ship on Wednesday June 19, 2024 if Express shipping is chosen

Recently Viewed See More

Affordable Care Act 1095 Double Window Envelope (Self Seal)

Starting at: $15.00

Bulletin with Detachable Visitor / Comment Card - White

Starting at: $35.00

12 Inch Tag String (Bag of 1,000)

Starting at: $17.00

Print On Demand 8UP Postcards - Classy Cream

Starting at: $84.00

1099R Laser Copy A

Starting at: $11.40

1099MISC Laser 4-Part Set

Starting at: $26.40