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Cat. No. 60705M Form 1095-C 2014 Indicator Codes for Employee Offer and Coverage Form 1095-C Part II Line 14 Code Series 1 Offer of Coverage 1A. 1095-C Form Department of the Treasury Internal Revenue Service Part I Employee CORRECTED about Form 1095-C and its separate instructions is at www.irs.gov/f1095c. 2 Social security number SSN 3 Street address including apartment no.
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