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:

	RI State Tax E-file Envelope - #10 (RIEF410)
	Preprinted 1095-C Half Page Form (B95CHPREC05)
	WI State Tax Envelope for Balance Due - #10 (WIB410)
	Top-Staple Folder with Vertical Stripes (FL55DX)
	GA StateTax Filing Envelope for Refunds - 6" x 9" (GAR610)
	1099-R Distributions From Pensions, etc. - Copy A Federal (BRFED05)
	Offset Window Expansion Folder with Pocket (80791X)
	W-3c Form - Copy A - Employer Federal (BW3C05)
	Double Window Envelope - Self Seal - 3-7/8" x 8-7/8" (E40338S)