1094-C and 1095-C Form Reports

Form 1095-C is filed and furnished to any employee of an Applicable Large Employers (ALE) member who is a full-time employee for one or more months of the calendar. ALE members must report that information for all twelve months of the calendar year for each employee.

Report Sample Images:

Report Configuration

Report Output

Report Printing and Exporting Options

  • Click on the Export Report icon in the upper left corner of the screen to export this report to a separate file, which can be in any of the following formats: .pdf, .xls, .xlsx, .doc, .rtf, .csv, .xml, .rpt
  • Click on the Print Report icon to print the report.
  • Use left and right arrows next to exporting and printing icons for navigating to next and previous pages of the report.

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