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    3. Tax Form 1094-B Transmittal of Health Coverage (1094BT25)(25 Pack)

    Tax Form 1094-B Transmittal of Health Coverage (1094BT25)(25 Pack)

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    • Form 1094-B, Transmittal of Health Coverage Information Returns
    • Sold in packs of 25 (Quantity of 1 is 25 forms) (Order by number of packs)
    2024 Forms available in October

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  • 1094 & 1095 Tax Forms ,
  • 1094 & 1095 Tax Forms

    • Tax Form 1094-B Transmittal of Health Coverage (1094BT25)(25 Pack)

    $ 0.13 $ 0.12
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    Use this transmittal as a coversheet when submitting form 1095-B to the IRS.


    • Pre-printed laser cut sheet 1 form per sheet 
    • 25 forms per pack (Order by number of packs)
    • Actual Size: 8.5"W x 11"H
    • Compatible with envelope 7777
    • Minimum Order Quantity: 1 pack of 25 forms

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