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 April 30, 2024 if Ground shipping is chosen
They will ship on Monday April 29, 2024 if Express shipping is chosen

Recently Viewed See More

Printable Membership / ID Card™ - Premium Heavyweight 1UP

Starting at: $46.00

Door Hangers 3 Per Page - Perfed Circle - Sonic Green

Starting at: $46.80

Door Hangers 2 Per Page - Perfed Circle - Standard White

Starting at: $37.00

Label 1UP 11" x 17" -2 vertical slits (#5020)

Starting at: $142.90

Print On Demand Jumbo Glossy Postcards (Laser Printers)

Starting at: $53.90

Affordable Care Act Form 1095-C Continuation

Starting at: $19.20