Blank Pressure Seal 14” EZ Fold 1095

(81650)
Use this blank pressure seal form for printing forms 1095-B and 1095-C.
8 ½” x 14” Sheet

A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage. c

Product Code: 81650

SELECT A QTY

QTY & PRICE (Scroll Down)*:

Description

Share your knowledge of this product with other customers... Be the first to write a review

Browse for more products in the same category as this item:

	W-2 - Employee Copies - Condensed 3up (BW23UP05)
	1099-DIV Set 3-part - Preprinted (DIVS305)
	5498 Form - Copy C (Trustee/Issuer) (B5498PY05)
	2up 1099-R Distributions from Pensions, etc. 4-part - Self-Mailer (QMR054)
	Pressure Seal W-2 Form - V-Fold - 4up (80732)
	W-2 Set - 2up Preprinted for up to 10 filings with envelopes - 6 part (W2TRD6E10) $34.89
	2018 W-2G Federal IRS Copy A (18BW2GFED05)
	TX Federal Tax Filing Envelope for All Returns - #12 (FTXAR10)
	DENTAL ANESTHETIC, PATIENT DOCUMENTATION OF TREATMENTS,27003