Page 14 - Taxforms

ACA PREPRINTED FEDERAL FORMS

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
Item # Description
B1094B05 1094-B Transmittal of Health Coverage
1095-B Health
1095-C Coverage
Item # Description B1095B05
B1095C05 1095-C Employer Provided Health Insurance
B1095CCON05 1095-C Continuation Form 1095-B Continuation Form
B1095BCON05
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

1095-C Employer
Provided Health
Insurance 1095-C Continuation Form
B1095C05 B1095CCON05

1094-B Transmittal of Health Coverage
B1094B05

1094-B TRANSMITTALS

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