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IRS Approved 1094-B Transmittal of Health Coverage Form - 25 Forms
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IRS Approved 1094-B Transmittal of Health Coverage Form - 25 Forms
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$11.55
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Part Number:
TF5400
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Size: 8 1/2 x 11"
Feature:
25 Forms per unit
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$11.20
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$10.97
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$10.74
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$10.40
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Meet your reporting requirements under the Affordable Care Act (ACA). A Summary Transmittal is required for submitting 1095B forms to the IRS
1 filing per sheet; shrinkwrapped in packs of 25.
Compatible with laser or inkjet printers.
Use with 1095B submissions only.
All 1095B submissions mailed to the IRS must be accompanied by a Summary Transmittal form 1094B
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