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Tax Form 1095-C Employer-Provided Health Insurance (1095C)

SKU:
1095C

  • Form 1095-C, Employer-Provided Health Insurance Offer and Coverage
  • 1 form per sheet (Order by number of forms)
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0.19 ea. 0.19
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19.00 19.00


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.


  • Pre-printed 1-up laser cut sheet
  • 1 form per sheet (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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