1094-C COUNT TRACEABILITY TEST
Product / version / evaluator / demonstration date:
Employer alias / reporting year / selected draft version:
Selected form field / month:
Definition / method / counting day where applicable:
Source snapshot / supporting population location:
Inclusions / exclusions / legitimately unrequired fields:
FICTIONAL HARBOR TOOL BASELINE
Original batches: 110 + 70 = 180 Forms 1095-C.
Selected line 18: 110. Authoritative line 20: 180.
June reviewed full-time population: 94; LNAP exclusions: 7; column (b): 87.
June total last-day population: 109; column (c): 109.
CONTROLLED CHANGE
Reviewed LNAP exclusions become 6; expected column (b): 88.
Expected unchanged values: line 18 110; line 20 180; column (c) 109.
OBSERVATIONS
Changed record reference / new draft / retained old draft:
Matching report and export versions:
Zero versus missing versus not required demonstration:
Outside reviewer reproduction result / unresolved limitation: