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Get Frequently Asked Questions Irs Form 1095-c Employer ...

Nformation. Employee 3 Street address (including apartment no.) Part II OMB No. 1545-2251 CORRECTED Applicable Large Employer Member (Employer) 2 Social security number (SSN) 1 Name of employee (first name, middle initial, last name) 4 City or town VOID Employer-Provided Health Insurance Offer and Coverage 5 State or province All 12 Months Jan 7 Name of employer 8 Employer identification number (EIN) 9 Street address (including room or suite no.) 10 Contact telephone number 6 C.

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