Item #: 1945418 | Model #: L1095BALT18
TOPS 2017 ACA Forms, 1095B Alternate Format, 50/Pack, Affordable Care Act (L1095BALT18)
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TOPS 2017 ACA Forms, 1095B Alternate Format, 50/Pack, Affordable Care Act (L1095BALT18)

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Product Details
  • 1094-B Transmittal for 1095-B forms used to report healthcare coverage
  • Alt-Format
  • Laser printer compatible
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4.99
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00025932109515
TOPS
TOPS 2017 ACA Forms, 1095B Alternate Format, 50/Pack, Affordable Care Act (L1095BALT18)
Product Description
Affordable Care Act Form - Health Coverage 1095B Alt Format

Satisfy IRS Tax requirements with TOPS Health Coverage 1095B Alt Format, Laser, 50 Sheets Per Pack

  • 1094-B Transmittal for 1095-B forms used to report healthcare coverage
  • Alt-Format
  • Laser printer compatible
  • Printed in black ink
  • Size 8-1/2" x 11"
  • 50 sheets per pack
Specifications
Form Format Laser
Tax Form Type 1095
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