$11.99/Pack

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Product Overview

  • Required under the Affordable Care Act
  • Summarizes transmittal records of 1095-C forms
  • Accompanies 1095-C forms when sent to the IRS
  • Must be submitted by 2/28 via mail or 3/31 electronically
  • 50 per pack for long-lasting use
UPC Code:400015412636
View all ComplyRight Employee Management and Compliance Forms

ComplyRight 1094CT50 Specs

Quantity
50/Pack
Shipping Weight
1 lb.
Length
11 Inches
Width
8 1/2 Inches
Features
Made in America
Language
English
Material
Paper
Shape
Rectangle
Type
Tax Forms

ComplyRight 1094CT50 Details

Provide essential tax records with this ComplyRight 8 1/2" x 11" 1094-C transmittal of employer-provided health insurance offer and coverage laser tax form. Required under the Affordable Care Act, this document allows you to provide a summary of 1095-C transmittal records. The form should accompany 1095-C forms when sent to the IRS.

At a standard 8 1/2" x 11" size, this form can be easily folded down to fit in a mailing envelope. It is made on laser paper for a crisp finish. Plus, 50 forms per pack are included for long-lasting use. This form should be submitted by February 28 via mail or March 31 electronically.

Overall Dimensions:
Length: 11"
Width: 8 1/2"

Attention CA Residents:
  • Made in America

    Made in America

    This item was made in the United States of America.

Resources for
ComplyRight 1094CT50

  • Restaurant Recruiting Guide