2019 Laser 1095C ACA IRS Copy Continuation Sheet

Item#: TF5096N Size: 11 x 8 1/2"
Quantity 25 50 100 150 200
TF5096N  1-Part/Original $22.99 $30.99 $36.99 $45.99 $54.99
We recommend this 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.