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 Tuesday May 14, 2024 if Ground shipping is chosen
They will ship on Monday May 13, 2024 if Express shipping is chosen

Recently Viewed See More

Burris Blank Printable Tags™ 8 UP Standard White

Starting at: $59.00

Inventory Card Display Sleeve 6.5" x 5.5"

Starting at: $125.00

1098 Laser Copy B

Starting at: $11.40

Burris Ride Release ID Dash - Small  - Baby Blue

Starting at: $37.00

Burris Ride Release ID Hangers (2UP)  - Goldenrod

Starting at: $48.10

1098 Laser Copy A

Starting at: $11.40