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2016 Laser 1095C ACA Continuation Sheet

Item#: Size:
Quantity 25 50 100 150 200
TF5096C  1-Part/Original $19.99 $24.99 $30.99 $39.99 $45.99
We recommend this quantity.
1.  Quantity
 

Benefits and Features

Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance.

  • Continuation form is used in addition to 1095C when an employee has more than 6 dependents.
  • 1 filing per sheet; shrinkwrapped in packs of 25.
  • Paper filing due date: to IRS by February 28 / to recipient by January 31.
  • Compatible with laser or inkjet printers.