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2017 Laser 1095C ACA IRS Copy Continuation Sheet

Item#: Size:
Quantity 25 50 100 150 200
TF5096N  1-Part/Original $20.99 $26.99 $32.99 $41.99 $48.99
We recommend this quantity.
1.  Quantity
 

Benefits and Features

Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan.

  • Continuation form is used in addition to 1095C,

    when an employee has more than 6 dependents.
  • Report to IRS

    in mandated landscape format.
  • 1 Filing per sheet.

    Shrinkwrapped in packs of 25.
  • Paper Filing Due Date:

    To IRS, February 28 // To Recipient January 31
  • Compatible with laser

    or inkjet printers.