https://www.staples-3p.com/s7/is/image/Staples/9F42E915-358A-44E6-8A5531BE4DA53B8D_sc7
ComplyRight 2026 1095-C Tax Form, 1-Part, White/Black, 25/Pack (1095CIRSC25)
$27.69
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
  • 1095-C continuation form is used to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees
  • Consists of two parts
  • For laser printers

ComplyRight 2026 1095-C Tax Form, 1-Part, White/Black, 25/Pack (1095CIRSC25)

Item #: 24507963Model #: 1095CIRSC25
$27.69
First time subscribers save 5% off your entire AutoRestock order! Save up to 10% on all following orders. Learn more

Free Returns

Online. In store. Always free.

Learn More

Sign in to unlock exclusive deals and picks just for you. sign in
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
ComplyRight 2026 1094-B Tax Form, 1-Part, White/Black, 50/Pack (1094BT50)~#|#~E74C8925-4921-4BE3-B9C1C36EBC3601B5_sc7
No reviews yet
Price is $16.19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Customers bought together
Price for both
$55.38

About this product

Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use forms 1094-C and 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees. These forms are also used in determining whether an ALE member owes a payment under the employer shared responsibility provisions under section 4980H. ComplyRight form 1095-C is also used in determining the eligibility of employees for the premium tax credit.

  • 1095-C continuation form is used to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees
  • Consists of two parts
  • For laser printers
  • Pack of 25
  • Dimensions: 11" x 8.5"
featuredProductsCarouselImage
featuredProductsCarouselImage