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Self-insured employers with less than 50 full-time employees, or insurers, must issue this form to employees/recipients and submit to the IRS as proof of healthcare coverage. Form 1094-B is the related transmittal.
- Pre-printed 1-up laser cut sheet
- 1 form per sheet (Order by number of forms)
- Actual Size: 8.5"W x 11"H
- Compatible with envelope 7777
- Minimum Order Quantity: 100
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