$8.39/Pack

Ships free with Plus

You must buy a minimum of 5 due to manufacturer packaging.

Other Available Sizes:

  • Required under the Affordable Care Act
  • Reports on whether or not an employer offered health coverage to employees
  • Form provides a copy of the report for the IRS
  • Issued by employers with 50 or more full-time employees
  • Must be submitted by 2/28 via mail or 3/31 electronically
UPC Code:400015412742
Shipping:Usually Ships in 2 Business Days
ComplyRight 1095CIRSC25 Specs
Quantity25/Pack
Length11 Inches
Width8 1/2 Inches
Language English
Material Paper
Shape Rectangle
Type Tax Forms

ComplyRight 1095CIRSC25 Details

Provide essential tax records with this ComplyRight 8 1/2" x 11" 1095-C IRS copy of employer-provided health insurance offer and coverage continuation laser tax form. Required under the Affordable Care Act, this document is a continuation of the first 1095-C form, and reports on whether or not an employer offered health coverage to employees. This form is made specifically to be sent to the IRS and is not a copy to be given to employees or employers.

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, 25 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"

Because this item is not stocked in our warehouse, processing, transit times and stock availability will vary. If you need your items by a certain date, please contact us prior to placing your order. Expedited shipping availability may vary. We cannot guarantee that this item can be cancelled off of the order or returned once it is placed.

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ComplyRight 1095CIRSC25

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