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Tax Form 1094-C Transmittal of Employer Health (1094CT)

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  • Form 1094-C, Transmittal of Health Coverage Information Returns

  • 3 page form (Order by number of forms)

2023 Forms available after November 1. Image will be updated upon availability.

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  • 1094 & 1095 Tax Forms ,
  • 1094 & 1095 Tax Forms

    • Tax Form 1094-C Transmittal of Employer Health (1094CT)

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    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.


    • Pre-printed laser cut sheet 3 page form (Order by number of forms)

    • Actual Size: 8.5"W x 11"H

    • Compatible with envelope 7777

    • Minimum Order Quantity: 100

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