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Laser 1094B Transmittal Health Coverage

Name: Laser 1094B Transmittal Health Coverage
Brand: SR
SKU: TF5400
Price: 29.00 USD
Availability: InStock

Sku: TF5400

Qty	Price	Unit Price
25	$29.00	$1.16
50	$34.00	$0.68
100	$44.00	$0.44
150	$54.00	$0.36
200	$67.00	$0.34
250	$79.00	$0.32
300	$85.00	$0.28
350	$100.00	$0.29
400	$112.00	$0.28
450	$126.00	$0.28
500	$138.00	$0.28

Description

This form is used to fulfil reporting requirements under the Affordable Care Act (ACA). This Summary Transmittal is required for submitting 1095B forms to the IRS.

Specifications

Product Details

Size: 8 1/2" x 11"
Use with 1095B submissions only
One filing per sheet
Shrink wrapped in packs of 25
Government approved 20# bond paper
Compatible with laser or inkjet printers
Meets all government and IRS filing requirements
Min. Order: 25 Forms

Use

1094-B

Min. Order

Turnaround Time:

Product #	Turnaround
TF5400	2 business day(s)