1099-SA Tax Form Copy B - Laser

$ 0.56

1099-SA Tax Form Copy B - Laser

Minimum order 50.

For Distributions from an HSA, Archer MSA or Medicare+ Choice MSA.

Recipient Copy B.


For use with envelope DW19 or SW19. Can also use with self seal envelope DW19S.

Tax form LSAB. Also known as tax form 5124 and Greatland tax form 9377.