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ACA Forms
IRS Approved 1094-C Laser Transmittal Form ACA - 25 Forms
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IRS Approved 1094-C Laser Transmittal Form ACA - 25 Forms
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TF5500
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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.
All 1095C submissions mailed to the IRS must be accompanied by a Summary Transmittal form 1095B.
One transmittal equals 3 pages.
Use with 1095C submissions only
Applicable Large Employers, generally employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year, must file one or more Forms 1094-C (including a Form 1094-C designated as the Authoritative Transmittal, whether or not filing multiple Forms 1094-C), must file a Form 1095-C for each employee who was a full-time employee of the employer for any month of the calendar year (Lscape Format) Black ink White, 20 pound paper stock Construction: Laser Pre-printed Product includes sheet 1, 2, 3 When ordering filing ACA forms, you should order one form for the employer, one for the employee, one for the IRS. If you are filing electronically, you do not need to order an IRS form
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