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  • ACA FORM 1095B (recipient copy) 2016

ACA FORM 1095-B, 100/PKG.

ACA Form 1095-B (recipient copy) is used to report the months employees and family members were covered under the health plan.  This recipient / employee copy is a portrait-style, laser-cut format that folds in half, and fits double window envelope 7777-1. Package of 100.  FREE Shipping.

RecommendedThis form is compatible with 1099 Double Window Envelope 7777-1.

* Buy 5 or more and get 10% Discount *


SKU:
1095-B
Price:
$39.95
Availability:
Ships UPS Ground 2-3 days.
Shipping:
Free Shipping
Quantity:
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