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 Wednesday May 08, 2024 if Ground shipping is chosen
They will ship on Tuesday May 07, 2024 if Express shipping is chosen

Recently Viewed See More

Print On Demand 8UP Postcards - Baby Blue

Starting at: $84.00

1099-NEC Envelopes (3 up)

Starting at: $20.00

Burris Ride Release ID Hangers (3UP)  - Sockeye Salmon

Starting at: $36.00

Burris Ride Release ID Hangers (3UP)  - Sonic Green

Starting at: $46.80

Burris Ride Release ID Hangers (3UP)  - Rudolph Red

Starting at: $46.80

Burris Ride Release ID Hangers™ w/Perfed Circle and detachable Cards

Starting at: $57.00