Reserved & Number of 1095-C Forms submitted

}

Part I - Applicable Large Employer Member (ALE Member)



Line 17: Reserved

The Line 17 of Form 1094-C is currently reserved for future use and should be left blank.

Line 18: Total number Forms 1095-C submitted with this transmittal

Enter the total number of 1095-C Forms that are being transmitted with your Form 1094-C.