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ACA Form 1095-C, 100/pkg (recipient copy) is used to report the months employees and family members were covered. (Item # 1095-C)
  • ACA Form 1095-C, 100/pkg (recipient copy) is used to report the months employees and family members were covered. (Item # 1095-C)

ACA FORM 1095-C, 100/PKG.

ACA Form 1095-C, 100/package (recipient copy) is used to report the months employees and family members were covered under the health plan.  This recipient / employee copy is a portrait-style, laser-cut format that folds in half, and fits double window envelope 7777-1. 100/package.  FREE Shipping.

Recommended:  This form is compatible with 1099 Double Window Envelope 7777-1.

* Buy 3 or More and Get 10% Discount *

SKU:
1095-C
Price:
$39.95
Availability:
Ships UPS Ground 2-3 days.
Shipping:
Free Shipping
Quantity:
Buy in bulk and save
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