Affordable Care Act Form 1095-C Continuation
Affordable Care Act Form 1095-C Continuation
Click Images to Enlarge

Quantity
Number of
Lot Price
50 $19.20 
100 $36.60 
200 $64.03 
300 $77.76 
500 $105.77 
1000 $181.25 
>1000 Call us at
1-800-982-3676
or Email Us For Price
Quantity:




If your employee has more than 6 people covered on their insurance, use this form (with the 1095-C) for the extra people

There are no templates available for this product


Any tax forms ordered today will ship on Friday June 21, 2024 if Ground shipping is chosen
They will ship on Thursday June 20, 2024 if Express shipping is chosen

Recently Viewed See More

Color Label 30UP 2 5/8" X 1" w/2 Vertical Perfs (#3640)

Starting at: $103.70

Color Label 1UP 8 1/2" x 11" -2 vertical slits crackback (#1000)

Starting at: $103.70

Color Label 2UP 4 1/2" - CD Donut (#4061)

Starting at: $103.70

Color Label 4UP 4" X 5" (#1440)

Starting at: $103.70

Burris EDDM 6.25x11 Template for Microsoft Word

Starting at: $0.00

Peel Out! Shipping Label Sheets LS-2X1B3

Starting at: $141.14