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 May 28, 2024 if Ground shipping is chosen
They will ship on Monday May 27, 2024 if Express shipping is chosen

Recently Viewed See More

Affordable Care Act 1095 Double Window Envelope (Moisture Seal)

Starting at: $13.75

Affordable Care Act Form 1095-B

Starting at: $19.20

Label 1UP 8 1/2" x 11" -2 vertical slits crackback  Template for

Starting at: $0.00

Label 6UP 4 inch X 3 1/3 inch with gutters  Template for Microsoft

Starting at: $0.00

LLS-4X5 4UP Labels Template for Microsoft Publisher

Starting at: $0.00

LLS-8.5X5.5 2UP Labels Template for Microsoft Publisher

Starting at: $0.00