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

Form 1094-C Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns - Page 3 (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 page three of a three-page transmittal.