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Ink, Toner & Ribbon 
» Office Supplies » General Office Supplies » Forms » Tax Forms

Tops 1095B Affordable Care Act Tax Form

Tops 1095B Affordable Care Act Tax Form


MFG Part #:

    L1095B

Our Part #:

    TOPL1095B

Printer Brand:

    Tops
 


InkMart Price:

   $ 8.67

 

     
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Health Coverage Forms 1095B, 50/PK, White. Affordable Care Act Tax Form is a required form to register health coverage with the Internal Revenue Service. This 1095-B form includes prompts for information about the responsible individual; employer sponsored coverage; issuer or other coverage provider; and covered individuals. It is printed in black ink and is compatible with laser printers.