Blank Form 1095-C
Full page with preprinted instructions on back.
Use this blank laser form for printing form 1095-C. Folding perforation at 5 ½”. Order by number of sheets needed.
Note: Please check your software for 1095 envelope compatibility.
A 1095-C form must be issued by employers with 50+ full time employees (including full-time equivalent employees) to employees and to the IRS.
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