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Ships within 48 hours · Estimated delivery Aug 12 - Aug 17
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Overall Size: 8 1/2" x 7" Snap-A-Part Form
The sheets contain three horizontal perforations creating four forms
Blank Form 1095-C
Use this blank laser form for printing form 1095-C
1094-B Transmittal of Health Coverage Information Returns W-2 Contact us for pricing onTransmittal of Health Coverage Information Returns. Use the 1094 B Transmittal as a coversheet when filing 1095 B forms to the IRS. (Approved 2025 version coming soon) Please contact us for other quantities needed.
US$ 179.00
US$ 20.20
US$ 94.23
US$ 38.00
US$ 27.20
US$ 65.74
US$ 196.00
US$ 151.06
US$ 229.00
US$ 55.00
US$ 23.89
