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1094-C Employer Health Transmittal Forms
1094-C - Transmittal form that must be filed with form 1095-C.  This transmittal form has 3 unique pages.

1094-C

Available in increments of 25
Quantity
Total Percent Off Per Unit
$41.10 0% $1.6440
$57.54 30% $1.1508
$98.64 40% $0.9864
$180.84 45% $0.9042
$328.80 50% $0.8220
$349.35 57.5% $0.6987
$431.55 65% $0.5754
$485.00 70.5% $0.4850
$653.55 73.5% $0.4357
$1,027.50 75% $0.4110
$1,849.50 77.5% $0.3699
$3,452.00 79% $0.3452


1094-C Transmittal Form that must be filed with form 1095-C. This transmittal form has 3 unique pages.

1094-C Page 1  covers parts I & II

1094-C Page 2  covers part III

1094-C Page 3 covers part IV

 

 

 


Priced by the form set. We are currently shipping 2024 forms. Image may reflect prior year images.
Use with form 1095-C




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