Understanding the Sources for Forms 1095-C and 1094-C and1095-C XML
The Form 1095-C print and the 1094-C or 1095-C XML files are handled through the JD Edwards Electronic Document Delivery (EDD) system. The system uses the data item aliases during the spool file batch export step to create XML source files, which are then used to map the information to:
The Form 1095-C RTF file (for the printed Form 1095-C's)
The XML XSL (XML transformation file used to map to the IRS XML schema) when creating the target (final) XML file for electronic filing
Ensure that you use the same alias names used by JD Edwards or the mapping of information fails and the information is left blank or empty on the form and the target XML file sent to the IRS.
Ensure that either the alias for each data item listed below matches the information below or you need to create an Alias Type of 4 with the exact Data Item Alias below in the Data field Alias window (P9204) by pressing F5 from the Data dictionary.
Many fields used on the Form 1095-C and in the XML files are new data items created specifically for ACA. You should not have different aliases, since they are new, so they are excluded from the table below. The data items that are listed in the table below are some of the older and more established data items that may be different on your machines.
Form 1095-C (S085192)
Form Box | Data Item | Data Item Alias | Data Source |
|---|---|---|---|
1 | GNNM | NameGiven | F0111:WWGNNM |
1 | MDNM | NameMiddle | F0111:WWMDNM |
1 | SRNM | NameSurname | F0111:WWSRNM |
2 | SSN | SocialSecurityNumber | F08119: AGSSN |
3 | ADD1 | AddressLine1 | F0116:ALADD1 |
3 | ADD2 | AddressLine2 | F0116:ALADD2 |
3 | ADD3 | AddressLine3 | F0116:ALADD3 |
4 | CTY1 | City9 | F0116:ALCTY1 |
5 | ADDS | State | F0116:ALADDS |
6 | CTR | Country | F0116:ALCTR |
6 | ADDZ | ZipCodePostal | F0116:ALADDZ |
6 | MSZC | ZipCode | F0116:ALADDZ |
7 | ALPH | NameAlpha9 | F069086:YIPA8 or F069086:YICO, if YIPA8 is blank ' F0010:CCAN8 ' F0111:WWMLNM |
8 | TAXX | TaxIdentificationNo | F08119:AGTAXX |
9 | AD11 | AddressLine1Int | F0116:ALADD1 |
9 | AD12 | AddressLine2Int | F0116:ALADD2 |
9 | AD13 | AddressLine3Int | F0116:ALADD3 |
10 | PHN1 | PhoneNumberOne | P/O or, if blank, F08121:AJPHN1 |
11 | CTI1 | City9Int | F0116:ALCTY1 |
12 | ADIS | StateInt | F0116:ALADDS |
13 | CTRI | CountryInt | F0116:ALCTR |
13 | ADIZ | ZipCodePostalInt | F0116:ALADDZ |
13 | MSZE | ZipCodeExtension | F0116:ALADDZ |
17-28 (SSN) | TAX | TaxId | F08120:AHTAX |
Employer Address on back of Form | |||
ER Name | ALPH | NameAlpha9 | |
ER ADD1 | AD11 | AddressLine1Int | F0116:ALADD1 |
ER ADD2 | AD12 | AddressLine2Int | F0116:ALADD2 |
ER ADD3 | AD13 | AddressLine3Int | F0116:ALADD3 |
ER ADD4 | AD14 | AddressLine4Int | F0116:ALADD4 |
ER ADD5 | AD15 | AddressLine5Int | F0116:ALADD5 |
Employee Address on back of Form | |||
EE MLNM | MLNM | NameMailing | |
EE ADD1 | ADD1 | AddressLine1 | F0116:ALADD1 |
EE ADD2 | ADD2 | AddressLine2 | F0116:ALADD2 |
EE ADD3 | ADD3 | AddressLine3 | F0116:ALADD3 |
EE ADD4 | ADD4 | AddressLine4 | F0116:ALADD4 |
EE ADD5 | ADD5 | AddressLine5 | F0116:ALADD5 |