Item #: 1945424 | Model #: L1095CCONT
TOPS 2017 ACA Forms, 1095C Continuation Page, 50/Pack, Affordable Care Act (L1095CCONT)
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TOPS 2017 ACA Forms, 1095C Continuation Page, 50/Pack, Affordable Care Act (L1095CCONT)

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Product Details
  • 1095-C Employer-provided Health Insurance Offer and Coverage for an employer that offers health coverage through an employer-sponsored self-insured health plan must complete Forms 1095-C, Parts 1, 2 and 3, for any employee who enrolls in the health coverage, whether or not the employee is a full-time employee for any month of the calendar year
  • Continuation page
  • Laser printer compatible
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4.99
4.99
https://www.staples-3p.com/s7/is/image/Staples/s0998923
00025932109560
TOPS
TOPS 2017 ACA Forms, 1095C Continuation Page, 50/Pack, Affordable Care Act (L1095CCONT)
Product Description
Affordable Care Act Form - Employer-provided Health Insurance O/C Continuation

Satisfy IRS Tax requirements with TOPS 1095-C Continuation Page, Laser, 50 Sheets Per Pack

  • 1095-C Employer-provided Health Insurance Offer and Coverage for an employer that offers health coverage through an employer-sponsored self-insured health plan must complete Forms 1095-C, Parts 1, 2 and 3, for any employee who enrolls in the health coverage, whether or not the employee is a full-time employee for any month of the calendar year
  • Continuation page
  • Laser printer compatible
  • Printed in black ink
  • Size 8-1/2" x 11"
  • 50 sheets per pack
Specifications
Form Format Laser
Tax Form Type 1095
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