Submit Your 1095Hawk Service Request

Thank you for choosing 1095Hawk to prepare, deliver and e-file your 1095 forms for 2016.

Please complete the form below. Enter your name in the signature box to electronically sign the contract.

  • By signing below, you are agreeing to engage the services of 1095Hawk, a service of Hawkins Ash CPAs, LLP. The pricing will be based on the number of 1095 forms prepared at the pricing shown on our pricing page. After clicking on "Submit Your Contract", you will receive a contract for services.

  • Please enter your full name to serve as your digital signature.
  • (After clicking the Submit button, it will take a few seconds to process, please be patient.)
  • This field is for validation purposes and should be left unchanged.
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T: 800.658.9077
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Your Name (required)

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Your Message

Are you human?


T: 800.658.9077
E: info@hawkinsashcpas.com

Locations