Meet your reporting requirements under the Affordable Care Act (ACA). A Summary Transmittal is required for submitting 1095C forms to the IRS. Compatible with laser or inkjet printers. Use with 1095C submissions only. One transmittal equals 3 pages. All 1095C submissions mailed to the IRS must be accompanied by a Summary Transmittal form 1095B.
SIZE: 8 1/2 x 11"