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 06, 2024 if Ground shipping is chosen
They will ship on Friday May 03, 2024 if Express shipping is chosen

Recently Viewed See More

Burris Ride Release ID Dash - Large - Sockeye Salmon

Starting at: $37.00

Affordable Care Act Form 1095-B

Starting at: $19.20

Burris Ride Release ID Dash - Large - Sun Shine

Starting at: $39.00

Burris Ride Release ID Dash - Large - Baby Blue

Starting at: $37.00

Burris Ride Release ID Dash - Large - Popping Pink

Starting at: $39.00

Burris Ride Release ID Dash - Large - Wild Canary

Starting at: $37.00