IRS Form 1095-C Employer-Provided Health Insurance Offer and Coverage

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of IRS Form 1095-C for the current year.

IRS Form 1095-C Employer-Provided Health Insurance Offer and Coverage

What Is IRS Form 1095-C?

This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury. Check the official IRS-issued instructions before completing and submitting the form.

Form Details:

  • A 4-page form available for download in PDF;
  • Actual and valid for filing 2023 taxes;
  • Additional instructions and information can be found on page 2 of the document;
  • Editable, printable, and free;
  • Fill out the form in our online filing application.

Download a fillable version of IRS Form 1095-C through the link below or browse more documents in our library of IRS Forms.

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Download IRS Form 1095-C Employer-Provided Health Insurance Offer and Coverage

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