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Sample 1095 and 1094 ACA Forms

ez1095 software can print 1095-C, 1094 C, 1095 B and 1094 B forms for IRS and recipients on white paper. No pre-printed form is needed. ez1095 software makes it easy to prepare, print, pdf print and efile ACA form 1095 and 1094.

  • How to print Form 1095-C and 1094-C?

  • How to print Form 1095-B and 1094-B?

  • How to file the prior 1095 & 1094 forms?(Year  2024202320222021202020192018201720162015,  )


  • See Sample 1095 & 1094 ACA Forms - Print Your Own With Ease



    Form 1095C

    How to print Form 1095-C and 1094-C?

    IRS changed form format in Year 2020. The 2020 and later form is with 2-page format. Year 2015-2019 form is with single page format.

  • Sample 1095 C form for Year 2020 and later
  • sample Year 2020 1095 C form printed by ez1095 software


  • 1095C form with truncated SSN

  • How to truncate SSN on recipient copy?

    truncate SSN on 1095 recipient copy


  • Sample 1095 C form for Year 2015 to 2019
  • How to print prior Form 1095-C and 1094-C?

    sample 1095 C form printed by ez1095 software


    Form 1095C Correction Form

    How to file 1095 and 1094 correction?

    1095 C correction form printed by ez1095 software


    Form 1094C

    sample 1094 C form printed by ez1095 software


    sample 1094 C form printed by ez1095 software

    sample 1094 C form printed by ez1095 software


    Form 1095B

    sample 1095-B form


    Shipping Label

    1095 C form shipping label



    1095 software
    From $295

    Securely File 1095 & 1094 ACA Forms In-House

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  • Prepare, print, PDF print and e-file 1095-B, 1094-B, 1095-C and 1094-C ACA forms
  • Unlimited accounts. Unlimited forms.
  • For 2016 to 2025 tax seasons.
  • For both federal and states.
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  • ez1095 is compatible with Windows 11, 10, 8.1, 8, 7, and other Windows system, 32-bit or 64-bit.