1095-C Forms - Blank With Fold Perforation - Instructions On Back

Form 1095-C  Blank Full page form, with a fold perforation at 5 1/2", includes 1095-C instructions on back.

Use this blank form for 1095-C information.  Order by number of employees.  Instructions are printed on the back of the form.  The related transmittal is form 1094-C.

A 1095-C form must be issued to employees by employers with 50+ full time employees, including full-time equivalent employees.  If filing via paper to the IRS a 1095-C must be filed to the IRS.