2022 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"

E-File: 1099, W-2 & ACA

Securely file online with the IRS and recieve print & mail copies

E-File