TF5500 2022 Laser ACA 1094C Transmittal Employer Provided Health Coverage 8 1/2 x 11" QTY 25
TF5500 2022 Laser ACA 1094C Transmittal Employer Provided Health Coverage
Size: 8 1/2 x 11"
Meet your reporting requirements under the Affordable Care Act (ACA).
A Summary Transmittal is required for submitting 1095C forms to the IRS.
- Black ink imprint
- Form consists of 3 pages that are two-sided
- One transmittal equals 3 pages.
- Use with 1095C submissions only.
- All 1095C submissions mailed to the IRS must be accompanied by a Summary Transmittal form 1095B.
- Compatible with laser or inkjet printers.
- Forms come in packages of 25.