2021 IRS APPROVED FORMAT
Part Number: 1095C-BLANK

14″ 1095-C Pressure Seal Form – Employer Provided Health Coverage (1095C-Blank)

Pressure Seal EZ Fold w/ blank face with instructions on back. Form 1095-C is filed and furnished to any employee of an Applicable Large Employers (ALE) member who is a full-time employee for one or more months of the calendar

Fold

EZ-Fold

Size

8.5" x 14"

E-File Forms Online

Securely file with the IRS and recieve print & mail copies

E-File

An Established Service Partner

30,000+

Customers Served

Employers, accountants and tax preparers

10 Million+

Tax Forms Printed & Mailed Yearly

1099, 1095, W-2 pre-printed and blank forms

30+

Years in Business

Experience in tax form print & mail