ACA Pressure Seal Tax Forms
PS1095B-B
1095B-Blank-2
2021 IRS APPROVED FORMAT
Sku: PS1095B-B

1095-B Blank Pressure Seal Form – Health Coverage (PS1095B-B)

14″ Pressure Seal EZ Fold blank face with instructions on back. Form 1095-B is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage.

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Fold

EZ-Fold
Size

8.5" x 14"

Related

2021 1095B Laser Form
1095-B Employee/Employer Copy Health Coverage
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