Form 1095-C Recipient Copy Blank Top

(95CRCBT)
1095-C Recipient copy. Top half is blank for software to print mailing information. Recipient information at the bottom, and instructions on the back. Check your software for compatibility.
Buy more & save
Quantity / Unit Price
1 / Free Sample
25 - 49 / $0.67
50 - 99 / $0.371
100 - 199 / $0.334
200 - 499 / $0.309
500 - 999 / $0.203
1000 - 1999 / $0.1724
2000 - 4999 / $0.1673
5000+ / $0.1591
Enter Quantity
First Text
Minimum order of 25
or increments of 25
$000.00