Page 13 - 2024 Tax Catalog

ACA PREPRINTED FEDERAL FORMS 13

ACA Preprinted Federal Forms

Order in increments of 25

OFFICIAL IRS FORMS
When using the official IRS copy only, purchase 3 forms per employee/
recipient to be used as IRS, Recipient, and Employer file copy .

1095-B
Item # Description
B1095B05 1095-B Health Coverage
B1095BCON05 1095-B Continuation Form
1094-B 1095-B Health
Item # Description Coverage
B1094B05 1094-B Transmittal of Health Coverage B1095B05 1095-B Continuation Form
B1095BCON05
1095-C
Item # Description
B1095C05 1095-C Employer Provided Health Insurance
B1095C1205 1095-C Federal Kit—Pages 1 & 2
B1095C205 1095-C Covered Individuals
1094-C
Item # Description
B1094C105 •1094-C Employer Health Transmittal Page 1
B1094C205 •1094-C Employer Health Transmittal Page 2
B1094C305 •1094-C Employer Health Transmittal Page 3
B1094CS05 •1094-C Employer Health Transmittal Kit—Pages 1-3
•Available in a pack of 10, or multiples of 25 .
1095-C Employer
Provided Health
Insurance 1095-C Covered Individuals
B1095C05 B1095C205

1094-B TRANSMITTALS
You need one 1094-B form to summarize
a batch of paper 1095-B forms to the IRS . 1094-C Employer Health Transmittal Kit — Pages 1-3
Do not use 1094-B forms when e-filing . B1094CS05
If you need more than the THREE FREE
laser forms we send with your 1095-B,
order #B1094B05 .

1094-C TRANSMITTALS
You need the 1094-C kit to summarize
each batch of paper 1095-C forms to the
IRS . Do not use 1094-C forms when
e-filing . This kit contains all 3 pages of
the transmittal .
If you need more than the THREE FREE laser kits we send with
your 1095-C, order #B1094CS05 1094-B Transmittal of Health Coverage
B1094B05