Annual Summary and Transmittal of U.S. Information Returns (Info Copy Only) Revision Date 04/04/2022

• Issuer: Treasury Department
• Section: Treasury Department

Attention filers of Form 1096:

This form is provided for informational purposes only. It appears in red, similar to the official

IRS form. The official printed version of this IRS form is scannable, but a copy, printed from

this website, is not. Do not print and file a Form 1096 downloaded from this website; a

penalty may be imposed for filing with the IRS information return forms that can’t be

scanned. See part O in the current General Instructions for Certain Information Returns,

available at www.irs.gov/form1099, for more information about penalties.

To order official IRS information returns, which include a scannable Form 1096 for filing with

the IRS, visit www.IRS.gov/orderforms. Click on Employer and Information Returns, and

we’ll mail you the forms you request and their instructions, as well as any publications you

may order.

Information returns may also be filed electronically. To file electronically, you must have

software, or a service provider, that will create the file in the proper format. More information

can be found at:

•

IRS Filing Information Returns Electronically (FIRE) system (visit

www.IRS.gov/FIRE

), or

• IRS Affordable Care Act Information Returns (AIR) program (visit www.IRS.gov/AIR).

See IRS Publications 1141, 1167, and 1179 for more information about printing these tax

forms.