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Laser Blank ACA Form 1095 w/Backer

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Item No: TF5097
Laser Blank ACA Form 1095 w/Backer
  • Compatible with laser or inkjet printers.`
  • Paper filing due date: to IRS by February 28 / to recipient by January 31.
  • Blank form with backer functions as 1095B or 1095C when your software prints the entire front side.
  • 1 filing per sheet; packaged in quantities of 100.
Select Quantity
1
$13.99
2
$27.99
3
$41.99
4
$54.99
5
$68.99
6
$81.99
7
$95.99
8
$109.99
9
$123.99
10
$137.99
Total: $54.99

Meet your reporting requirements under the Affordable Care Act (ACA).

Standard turnaround time applies.
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