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1095-C - Continuation Tax Form (1095CC)

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1095-C - Continuation Tax Form (1095CC)

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  • Form 1095-C, Continuation

  • 1 form per sheet (Order by number of forms)

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    •  Authorized Distributor for ADP®

    This form is a continuation of form 1095-C which allows for only 6 covered individuals to be listed. Use this form when there are 7 or more covered individuals to be listed on form 1095-C.


    • 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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