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 Monday May 13, 2024 if Ground shipping is chosen
They will ship on Friday May 10, 2024 if Express shipping is chosen

Recently Viewed See More

Integrated Forms - Layout LS-6X4BL

Starting at: $40.33

Label Sheets LS-6X4B2-14P

Starting at: $125.40

Label Sheets LS-4B2

Starting at: $40.33

Label Sheets LS-3.5BR

Starting at: $40.33

Affordable Care Act 1095 Double Window Envelope (Moisture Seal)

Starting at: $13.75

Affordable Care Act 1095 Double Window Envelope (Self Seal)

Starting at: $15.00