https://www.staples-3p.com/s7/is/image/Staples/47F8CEE0-E240-4E40-AC6D11E99F22AB12_sc7
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 500/Pack (1095CIRS500)
$69.99
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
  • Form 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for employees
  • Consists of two parts
  • For laser printers
MADE IN AMERICA

ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 500/Pack (1095CIRS500)

Item #: 24507918Model #: 1095CIRS500
Final price is $69.99
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

Easy eFiling with Staples powered by Adams Tax Forms Helper. Learn more
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

Consider this similar product

ComplyRight 2025 1095-B Tax Form, 1-Part, White/Black, 500/Pack (1095B500)~#|#~13C25E0A-09BE-40F9-A2B3C2E174CEFE48_sc7
No reviews yet
Price is $69.99
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
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 500/Pack (1095CIRS500)~#|#~5E20E27F-5736-4B6D-A03214814866A59C_sc7ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 500/Pack (1095CIRS500)~#|#~47F8CEE0-E240-4E40-AC6D11E99F22AB12_sc7
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 500/Pack (1095CIRS500) is Your Product
Price is $69.99
LUX Self Seal Security Tinted A2 Window Envelope, 4 3/8" x 5 3/4", White, 500/Pack (7486-W2-500)~#|#~sp14807383_sc7
Price is $104.69
ComplyRight 2025 Affordable Care Act E-File Tax Software, Windows, Card for Download (14035ST)~#|#~463FB01A-F674-4742-BD2474F920C422C8_sc7
Price is $179.99
Price for all 3
$354.67
  • 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. Form 1095-C is also used in determining the eligibility of employees for the premium tax credit.

    • Form 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for employees
    • Consists of two parts
    • For laser printers
    • Pack of 500
    • Dimensions: 8.5" x 11"

    Compare similar items

    Product specifications table
    Attributes ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 500/Pack (1095CIRS500) ComplyRight 2025 1095-B Tax Form, 1-Part, White/Black, 500/Pack (1095B500) Adams Employee's Copies Cut Sheet 2025 Blank W-2 Tax Form, 1-Part, 2-Up, 100/Pack (BLW2Q) Adams 2025 W-2 Tax Form, 1-Part, Copy B, 100/Pack (LW2EEBQ) Adams 2025 W-2 Tax Form, 1-Part, Copy A, 100/Pack (LW2FEDAW3)
    Your product
    Price is $69.99
    Reviews
    No reviews yet
    No reviews yet
    No reviews yet
    Delivery Information
    Free delivery by Wed, Feb 11
    Free delivery by Wed, Feb 11
    Delivery by Fri, Feb 06
    Delivery by Tue, Feb 03
    Delivery by Wed, Feb 04
    Available in my store
    No
    No
    No
    Yes
    Yes
    Tax Form Pack Size
    500
    500
    100
    100
    100
    Length in Inches
    11
    11
    11
    11
    11
    Number of Recipient or Employees
    51+
    51+
    51+
    51+
    51+
    Selling Quantity (UOM)
    Pack
    Pack
    Pack
    Pack
    Pack
    Number of Parts
    1
    1
    1
    1
    1
    True Color
    White / Black
    White / Black
    White
    White
    White
    Tax Form Type
    1095-C
    1095-B
    W-2
    W-2
    W-2
    Acid Free
    Acid Free
    Acid Free
    Acid Free
    Acid Free
    Acid Free
    Year
    2025
    2025
    2025
    2025
    2025
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Print Type
    Laser
    Laser
    Inkjet / Laser
    Inkjet / Laser
    Inkjet / Laser
    Price Per Unit
    Data not available
    Data not available
    $0.13 / PK
    $0.13 / PK
    $0.13 / PK
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    featuredProductsCarouselImage
    featuredProductsCarouselImage