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Tax Form 1094-B Transmittal of Health Coverage (1094BT)

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  • Form 1094-B, Transmittal of Health Coverage Information Returns
  • 1 form per sheet (Order by number of forms)

https://www.form-center.com/web/image/product.template/1179/image_1920?unique=b360803
SKU:
1094BT25

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15% Off

( 0.13 0.11 ea. 0.1105 USD )

0.13

13.00 11.05

Not Available For Sale

Use this transmittal as a coversheet when submitting form 1095-B to the IRS.


  • Pre-printed laser cut sheet 1 form per 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: 50
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