2017 Laser 1095C ACA Continuation Sheet 741715009

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2017 Laser 1095C ACA Continuation Sheet 741715009

TF5096C

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Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance. Continuation form is used in addition to 1095C when an employee has more than 6 dependents. 1 filing per sheet; shrinkwrapped in packs of 25. Paper filing due date: to IRS by February 28 / to recipient by January 31. 25,20.99,4.99,50,26.99,4.99,100,32.99,4.99,150,41.99,4.99,200,48.99,4.99 25,20.99,4.99,50,26.99,4.99,100,32.99,4.99,150,41.99,4.99,200,48.99,4.99

2017 Laser 1095C ACA Continuation Sheet 741715009

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2017 Laser 1095C ACA Continuation Sheet 741715009
2017 Laser 1095C ACA Continuation Sheet 741715009

Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance. Con...

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