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1094-B Transmittal of Health Coverage Information Returns W-2 Blank Form 1095-C
1094-B Transmittal of Health Coverage Information Returns W-2 Blank Form 1095-C
1094-B Transmittal of Health Coverage Information Returns W-2 Blank Form 1095-C
1094-B Transmittal of Health Coverage Information Returns W-2 Blank Form 1095-C

1094-B Transmittal of Health Coverage Information Returns W-2 Blank Form 1095-C

SKU: 80430784512

4.8
USD33.33 USD73.33

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  • USA
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Ships within 48 hours · Estimated delivery Aug 15 - Aug 20

Description

Blank Form 1095-C

Contact us for pricing on other quantities

Overall Size:  4 1/8" x 9 1/2"

Transmittal of Health Coverage Information Returns

Use this blank laser form for printing form 1095-C

1094-B Transmittal of Health Coverage Information Returns W-2 Blank Form 1095-CTransmittal of Health Coverage Information Returns. Use the 1094 B Transmittal as a coversheet when filing 1095 B forms to the IRS. (Approved 2025 version coming soon) Please contact us for other quantities needed.

Exchange/Return Notes
  • We offer a 30-day return/exchange service after receiving.
  • Final sale items are not eligible for returns or exchanges.
  • To process your return/exchange, please contact us at [email protected]
  • Please click here for more details>>> Return & Exchange Policy

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