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Product Overview

  • 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:400015412728

ComplyRight 1095CIRS25 Specs

Quantity
25/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 1095CIRS25 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 laser tax form. Required under the Affordable Care Act, this document 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.

Attention CA Residents:

Attention CA Residents

WARNING:This product can expose you to chemicals including lead, which are known to the State of California to cause cancer, birth defects, or other reproductive harm. For more information, go to www.p65warnings.ca.gov.

  • Made in America

    Made in America

    This item was made in the United States of America.

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ComplyRight 1095CIRS25