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2017 Laser 1094C Transmittal Employer Provded Health Ins

Item#: Size:
Quantity 25 50 100 150 200
TF5500  3-Parts/Triplicate $49.99 $61.99 $75.99 $98.99 $114.99
We recommend this quantity.
1.  Quantity

Benefits and Features

Meet your reporting requirements under the Affordable Care Act (ACA). A Summary Transmittal is required for submitting 1095C forms to the IRS.

  • All 1095C submissions mailed to the IRS must be accompanied by a Summary Transmittal form 1095B.
  • One transmittal equals 3 pages.
  • Use with 1095C submissions only.
  • Compatible with laser or inkjet printers.