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:

1094-C and 1095-C Form

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.