• 1094-C Transmittal Of Employer-Provided Health Insurance Offer And Coverage Information Returns For Form 1095C.
  • Pack of 50 forms
  • Three page form.
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ComplyRight 2025 1094-C Tax Form, 1-Part, White/Black, 50/Pack (1094CT50)

Item #: 24507962Model #: 1094CT50
$13.79

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  • 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.

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    Product specifications table
    Attributes ComplyRight 2025 1094-C Tax Form, 1-Part, White/Black, 50/Pack (1094CT50) ComplyRight 2025 W-2C Tax Form, 1-Part, Copy 1/D, 50/Pack (531550)
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    Price is $13.79
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    Delivery Information
    Data not available
    Delivery by Thu, Sep 11
    Available in my store
    No
    No
    Length in Inches
    11
    11
    Selling Quantity (UOM)
    Pack
    Pack
    Number of Parts
    1
    1
    True Color
    White / Black
    White / Black
    Tax Form Type
    1094-C
    W-2C
    Acid Free
    Acid Free
    Acid Free
    Year
    2025
    2025
    Width in Inches
    8.5
    8.5
    Print Type
    Laser
    Laser
    Tax Form Pack Size
    50
    50
    Number of Recipient or Employees
    26-50
    26-50
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