2022 IRS APPROVED FORMAT
Sku: PS1095C-PV

1095-C Vertical Pressure Seal Form – Employer Provided Health Coverage (PS1095C-PV)

14″ EZ Fold w/ printed face (Part I & II vertical) 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.

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Fold

EZ-Fold

Size

8.5" x 14"

E-File: 1099, W-2 & ACA

Securely file online with the IRS and recieve print & mail copies

E-File