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

Affordable Care Act 1095 Double Window Envelope (Moisture Seal)

Starting at: $13.75

LLS-4X5 4UP Labels Jar Template (Portrait) for Publisher

Starting at: $0.00

Label Sheets LS-2X1B4-14P

Starting at: $125.40

Label 2UP 4 1/2" - CD Donut  Template for Microsoft Word

Starting at: $0.00

LS-2X1B4-14P Legal Size Sheet Template for Microsoft Word

Starting at: $0.00

Label Sheets LS-4B2

Starting at: $40.33