> Miscellaneous Laser Forms > 1095-B and/or 1095-C Blank w/Backer
1095-B and/or 1095-C Blank w/Backer

1095-B and/or 1095-C Blank w/Backer

$ 0.56


1095-B and/or 1095-C ACA Health Coverage - Blank - Laser

Tax form 1095BCBLK

Minimum order 50.

Form is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage and therefore are not liable for the individual shared responsibility payment.

Blank with Instructions.

For use with envelope DWMR.

Also known as Greatland tax form B95BHPREC05.

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