Tax Form 1095-C Employer-Provided Health Insurance (1095C)
Tax Form 1095-C Employer-Provided Health Insurance (1095C)
2Form 1095-C, Employer-Provided Health Insurance Offer and Coverage
1 form per sheet (Order by number of forms)
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- Authorized Distributor for ADP®
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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