B1095C205 - Form 1095-C - Employer Provided Health Insurance Offer and Coverage (Covered Individuals)
Below are the available bulk discount rates for each individual item when you purchase a certain amount
Blank Form 1095-C. Use this blank laser form for printing form 1095-C. Instructions are included on the back. Check your software for compatibility with blank 2up. Order by the number of sheets needed.
Note: Please check your software for 1095 envelope compatibility.
Construction: Laser Blank
Size: 8 1/2" x 11"
Forms /Sheet: 2up
Horizontal Perforation: 5 1/2"