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 July 01, 2024 if Ground shipping is chosen
They will ship on Friday June 28, 2024 if Express shipping is chosen

Recently Viewed See More

Burris Blank Utility Template (Portrait View) for Microsoft Publ

Starting at: $0.00

Integrated Labels for PayPal and eBay

Starting at: $40.33

Four-of-a-Kind Heavyweight Color Postcards - Sockeye Salmon

Starting at: $48.00

Burris Blank 2UP Double Postcard Template for Microsoft Word

Starting at: $0.00

Burris Blank Jumbo Template for Microsoft Publisher

Starting at: $0.00

Peel Out! Shipping Label Sheets LS-2X1B3

Starting at: $141.14