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TF5500 2019 Laser ACA 1094C Transmittal Employer Provided Health Coverage 8 1/2 X 11"

Manufacturer: NEBS
Manufacturer Part No: TF5500
TF5500 2019 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.
  • All 1095C submissions mailed to the IRS must be accompanied by a Summary Transmittal form 1095B.
  • Compatible with laser or inkjet printers.
  • 100% Satisfaction Guarantee
  • Higher quantities are available at discounted prices.
  • Speak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 8AM - 7PM EST Monday - Thursday and 8AM - 5PM EST on Friday.


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$32.40 TF5500 2019 Laser ACA 1094C Transmittal Employer Provided Health Coverage 8 1/2 X 11"

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