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

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