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 July 01, 2024 if Ground shipping is chosen
They will ship on Friday June 28, 2024 if Express shipping is chosen

Recently Viewed See More

Blank Mailing Label Sheets - Legal Size - LS-Address-14P

Starting at: $169.38

Integrated Labels - Atandra T-Hub, 4P Site, ReadyShipper®

Starting at: $40.33

Integrated Labels used with ReadyShipper ® - LS-6X4BR v7.2.0

Starting at: $40.33

Peel Out! Shipping Label Sheets LS-2X1B3

Starting at: $141.14

Label Sheets LS-6X4B2 Without Perf

Starting at: $40.33

Label Sheets LS-3.5BR-14P

Starting at: $125.40