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B1094C305 - Form 1094-C - Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns - Page 3

B1094C305

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Form 1094-C
Use the 1094-C Transmittal as a coversheet when submitting multiple 1095-C forms to the IRS.

NOTE: This is page three of a three-page transmittal. 

 

To order a free sample, please contact us at 1-855-209-8701, or nelco@nelcosolutions.com.