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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
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$45.00 0% $1.8000
$63.00 30% $1.2600
$108.00 40% $1.0800
$198.00 45% $0.9900
$360.00 50% $0.9000
$382.50 57.5% $0.7650
$472.50 65% $0.6300
$531.00 70.5% $0.5310
$715.50 73.5% $0.4770
$1,125.00 75% $0.4500
$2,025.00 77.5% $0.4050
$3,780.00 79% $0.3780

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 2025 forms. Image may reflect prior year images.
Use with form 1095-C