Highlights
View all details
- 1094-C Transmittal Of Employer-Provided Health Insurance Offer And Coverage Information Returns For Form 1095C.
- Pack of 50 forms
- Three page form.
MADE IN AMERICA
ComplyRight 2025 1094-C Tax Form, 1-Part, White/Black, 50/Pack (1094CT50)
Item #: 24507962Model #: 1094CT50
No reviews yet
$13.79
Free Returns
Online. In store. Always free.
Learn More
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. Form 1094-C must be used to report to the IRS summary information for each applicable large employer (ALE) and to transmit Forms 1095-C to the IRS. 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 also is used in determining the eligibility of employees for the premium tax credit.
- 1094-C Transmittal Of Employer-Provided Health Insurance Offer And Coverage Information Returns For Form 1095C.
- Pack of 50 forms
- Three page form.
Frequently bought together
Price is $59.99, Regular price was $129.99, You save 53%
Free Next-Day eligible by tomorrow
30-min pickup
1
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
Price is $46.99, Regular price was $79.99, You save 41%
Unit of measure 5000/Carton
Free Next-Day eligible by tomorrow
30-min pickup
1
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
Price is $169.99, Regular price was $319.99, You save 46%
Free Next-Day eligible by tomorrow
30-min pickup
1
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
Price is $299.99, Regular price was $529.99, You save 43%
Free Next-Day eligible by tomorrow
30-min pickup
1
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
Nintendo Switch 2, 256GB, Mario Kart World Bundle, Black (BEESKB6LA) is New at Staples
Price is $499.99
Free delivery by Mon, Sep 22
30-min pickup
1
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
Price is $0.79
Next-Day Delivery by tomorrow
30-min pickup
1
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
Price is $6.79
Next-Day Delivery by tomorrow
1
1
2
3
4
5
6
7
8
9
10
Price is $2.69
Price per unit $2.69/Folder
Next-Day Delivery by tomorrow
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
Price is $19.99
Unit of measure 100/Box Price per unit $0.20/File Folder
Next-Day Delivery by tomorrow
30-min pickup
1
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
Price is $2.69
Price per unit $2.69/Folder
Next-Day Delivery by tomorrow
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
Price is $549.99, Regular price was $879.99, You save 37%
Free delivery by Mon, Sep 22
30-min pickup
1
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
Price is $59.99, Regular price was $89.99, You save 33%
Free Next-Day eligible by tomorrow
30-min pickup
1
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
ASUS TUF A15 15.6" FHD 144Hz Gaming Laptop, NVIDIA GeForce RTX 4060, AMD Ryzen 5 7535HS, 16GB RAM, 512GB SSD, Windows 11 is In-store only
Price is $649.99, Regular price was $899.99, You save 27%
Price is $4.39
Next-Day Delivery by tomorrow
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
Price is $15.99, Regular price was $26.14, You save 38%
Unit of measure 1500/Carton
Next-Day Delivery by tomorrow
30-min pickup
1
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
Price is $7.79
Next-Day Delivery by tomorrow
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
Price is $149.99, Regular price was $299.99, You save 50%
Free Next-Day eligible by tomorrow
30-min pickup
1
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
Price is $0.79
Next-Day Delivery by tomorrow
30-min pickup
1
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
Price is $39.97, Regular price was $68.99, You save 42%
Unit of measure 4000/Carton
Free Next-Day eligible by tomorrow
1
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
Featured Products
Price is $16.95
Delivery by Mon, Sep 29
1
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
Price is $21.95
Delivery by Mon, Sep 29
1
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
Price is $19.59
Delivery by Mon, Sep 29
1
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
Price is $20.19
Delivery by Mon, Sep 29
1
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
Price is $52.59
Unit of measure 50/Pack
Free delivery by Wed, Sep 24
1
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
Price is $56.19
Free delivery by Mon, Sep 29
1
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
Price is $59.59
Free delivery by Mon, Sep 29
1
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
Price is $17.95
Delivery by Mon, Sep 29
1
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
Price is $20.79
Unit of measure 50/Pack
Delivery by Wed, Sep 24
1
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
Price is $21.69
Delivery by Mon, Sep 29
1
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
Price is $25.29
Unit of measure 50/Pack
Delivery by Wed, Sep 24
1
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
Price is $60.39
Free delivery by Mon, Sep 29
1
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
Price is $65.39
Unit of measure 500/Ream
Free delivery by Wed, Sep 24
1
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
Price is $79.69
Unit of measure 500/Box
Free delivery by Wed, Sep 24
1
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
Price is $57.29
Free delivery by Mon, Sep 29
1
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