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 February 19, 2025 if Ground shipping is chosen
They will ship on Tuesday February 18, 2025 if Express shipping is chosen

Recently Viewed See More

Burris PrinTable POP ™ Display Cards

Starting at: $35.00

Printable Membership / ID Card™ - Standard White 1UP

Starting at: $37.00

Label 1UP 8 1/2" x 11" -2 vertical slits crackback (#1000)

Starting at: $87.03

HalfFold Classy Cream

Starting at: $37.00

Burris Ride Release ID Hangers (2UP)  - Wild Canary

Starting at: $37.00

Note Cards - Standard White (2UP)

Starting at: $47.00