Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance. Compatible with laser or inkjet printers. 1 filing per sheet; shrinkwrapped in packs of 25. Continuation form is used in addition to 1095C when an employee has more than 6 dependents. Paper filing due date: to IRS by February 28 / to recipient by January 31.
SIZE: 8 1/2 x 11″
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| Quantity | 25, 50, 100, 150, 200, 250, 300, 350, 400, 450, 500 |
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