Affordable Care Act Form 1095-C Health Coverage
Affordable Care Act Form 1095-C Health Coverage
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:




Employers with 50+ full time employees must issue this form to their employees and submit to the IRS. Form 1094-C is the related transmittal.

Be sure to order enough to give to your employees and submit to the IRS.

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

Label 6UP 4 inch X 3 1/3 inch with gutters  Template for Microsoft

Starting at: $0.00

Label Sheets LS-2X1B4-14P

Starting at: $125.40

ZenCart Packing Slip Template

Starting at: $0.00

LS-4B2 Template for Microsoft Word

Starting at: $0.00

Four-of-a-Kind Utility Heavyweight Color Postcards - Key Lime

Starting at: $64.00

Four-of-a-Kind Bright Color Postcards - Sonic Green

Starting at: $44.85