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 July 22, 2025 if Ground shipping is chosen
They will ship on Monday July 21, 2025 if Express shipping is chosen

Recently Viewed See More

Burris PrinTable POP ™ Display Cards

Starting at: $35.00

Burris Ride Release ID Dash - Small  - Classy Cream

Starting at: $37.00

Every Door Direct Mailer - Full Size - Premium Heavy Matte

Starting at: $19.00

Note Cards - Standard White (2UP)

Starting at: $47.00

Every Door Direct Mailer - 6x11" - Standard White

Starting at: $23.67

Poly Label 16UP 3 1/2" x 1 1/4" (#3381)

Starting at: $281.47