Affordable Care Act 1094-B Transmittal Forms
Affordable Care Act 1094-B Transmittal Forms
Click Images to Enlarge

Quantity
Number of
Lot Price
50 $18.30 
100 $32.02 
200 $51.84 
300 $63.46 
500 $90.63 
1000 $150.98 
>1000 Call us at
1-800-982-3676
or Email Us For Price
Quantity:




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

There are no templates available for this product


Any tax forms ordered today will ship on Wednesday June 19, 2024 if Ground shipping is chosen
They will ship on Tuesday June 18, 2024 if Express shipping is chosen

Recently Viewed See More

Burris Blank Printable Tags™ 8 UP Standard White

Starting at: $59.00

Color Label 80UP 1 3/4" x 1/2" (#3900)

Starting at: $103.70

Door Hangers 2 Per Page - Perfed Circle - Sonic Green

Starting at: $48.10

Door Hangers 2 Per Page - Perfed Circle - Baby Blue

Starting at: $37.00

Lab Testing Forms with Specimen Labels (4UP)

Starting at: $40.33

Color Label 6UP 4" X 3 1/3" w/1 vertical perf (#1700)

Starting at: $103.70