2021 IRS APPROVED FORMAT
Part Number: 1095B-BLANK

14″ 1095-B Pressure Seal Form – Health Coverage (1095B-Blank)

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.

Fold

EZ-Fold

Size

8.5" x 14"

E-File Forms Online

Securely file with the IRS and recieve print & mail copies

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1099, 1095, W-2 pre-printed and blank forms

30+

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Experience in tax form print & mail