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Sample 1095 and 1094 ACA Forms

IRS 1095/1094  |  MA 1099-HC Form


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 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015)


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

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    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


    Form 1094B

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

    sample 1094B form


    Shipping Label

    1095 C form shipping label


    1095 software
    From $295

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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 2026 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.

        

    Related Links

  • How to prepare, print and e-file Form 1094/1095-C and 1094/1095-B?
    • (Regular submissions, corrections, and replacements for both current and prior years, for both IRS and state agencies)

  • How to File 1095 ACA Forms Electronically to the IRS without a TCC?

  • How to import data?

  • Data sharing (for multiple-user version)?

  • How to pass ACA Testing (for new e-filers)?

  • How to validate XML files before submitting to IRS?

  • Steps to take if the ACA form submission is rejected or accepted with errors



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