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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 8 1/2 x 11" QTY 25

$41.75

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.


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