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:

	PA State Tax Envelope for Refund - #10 (PAR410)
	W-2 5-part Electronic Reporting Form - Carbonless (MMCW2055)
	Report Cover with Single Window (RCBLU10)
	1098 Pressure Seal Form - 11" Z-Fold (MW356)
	PA State Tax Envelope for Refund - 6" x 9" (PAR610)
	Client Tax Instruction & Delivery Envelope (TXINSTENV)
	Double Window Envelope - Self Seal - 3-7/8" X 8-7/8" (70031S)
	Tax Window Folder with Dimond Design Side-Staple Tabs with Pocket (LA40XX) for Lacerte and ProSeries
	IL State Tax Envelope for Refund - #10 (ILR410)