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 20, 2024 if Ground shipping is chosen
They will ship on Friday May 17, 2024 if Express shipping is chosen

Recently Viewed See More

1098 Laser Copy A

Starting at: $11.40

1098 Laser Copy C

Starting at: $11.40

1098 Envelopes 2UP

Starting at: $20.00

Poly Label 20UP 4" x 1" - vertical gutter (#3440)

Starting at: $281.47

Lab Testing Forms with Specimen Labels (4UP)

Starting at: $40.33

Lab form and specimen labels (8UP)

Starting at: $141.14