1095-C - Continuation Form (1095CC)

1095-C - Continuation Form (1095CC)

  •  Form 1095-C, Continuation
  •  1 form per sheet (Order by number of forms)
$0.00 Setup
$0.09 ea. |
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This form is a continuation of form 1095-C which allows for only 6 covered individuals to be listed. Use this form when there are 7 or more covered individuals to be listed on form 1095-C.

  • Pre-printed 1-up laser cut sheet
  • 1 form per sheet (Order by number of forms)
  • Actual Size: 8.5"W x 11"H


1095-C - Continuation Form (1095CC)
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