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ACA Forms & Envelopes
ACA Forms & Envelopes
1094-B / 1094-C
1095-B
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DW Envelope - 1099 2-Up (1099-B/DIV/INT/K/MISC/R, 5498, 1098-MTG/INT, ACA), Gum-Seal
77771
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$0.0000
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1095-B and/or 1095-C Blank w/Backer, Pack of 100
1095BCBLK
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$0.0000
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1095-B and/or 1095-C Blank w/Backer, Pack of 500
1095BCBLK500
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$0.0000
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1095-B and/or 1095-C Blank Pressure Seal w/Dual Backer, E-Z Fold, 14", Pack of 500
PS1095BC500BLK
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$0.0000
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DW Envelope - ACA, Gum-Seal
DWMR
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$0.0000
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1094-B Transmittal of Health Coverage Information Returns, Pack of 50
1094BT50
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$0.0000
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1094-B Transmittal of Health Coverage Information Returns, Pack of 500
1094BT500
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$0.0000
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1094-C Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns (3 pages), Pack of 50
1094CT50
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$0.0000
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1094-C Transmittal of Employer Provided Health Insurance Offer and Coverage Information Returns (3 pages), Bulk
1094CT500
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$0.0000
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1095-B "Employee/Employer" Copy Health Coverage, Pack of 100
1095B
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$0.0000
Add to cart
1095-B "Employee/Employer" Copy Health Coverage, Pack of 50
1095B50
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$0.0000
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1095-B "Employee/Employer" Copy Health Coverage, Pack of 500
1095B500
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$0.0000
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1095-B "Employee/Employer" Health Coverage "Continuation", Pack of 100
1095BC
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$0.0000
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1095-B "Employee/Employer" Health Coverage "Continuation", Pack of 25
1095BC25
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$0.0000
Add to cart
1095-B "Employee/Employer" Copy Health Coverage, Continuation, Pack of 50
1095BC50
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$0.0000
Add to cart
1095-B and/or 1095-C Blank w/Backer, Pack of 50
1095BCBLK50
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$0.0000
Add to cart
1095-B "IRS" Copy Health Coverage, Landscape, Pack of 100
1095BIRS
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$0.0000
Add to cart
1095-B "IRS" Copy Health Coverage, Landscape, Pack of 25
1095BIRS25
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$0.0000
Add to cart
1095-B "IRS" Copy Health Coverage, Pack of 50
1095BIRS50
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$0.0000
Add to cart
1095-B "IRS" Copy Health Coverage, Landscape, Pack of 500
1095BIRS500
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$0.0000
Add to cart
1095-B "IRS" Copy Health Coverage "Continuation", Landscape, Pack of 100
1095BIRSC
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$0.0000
Add to cart
1095-B "IRS" Copy Health Coverage "Continuation", Landscape, Pack of 25
1095BIRSC25
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$0.0000
Add to cart
1095-B "IRS" Copy Health Coverage, Continuation, Pack of 50
1095BIRSC50
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$0.0000
Add to cart
1095-C "Employee/Employer" Copy Employer-Provided Health Insurance Offer & Coverage, Pack of 100
1095C
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$0.0000
Add to cart
1095-C "Employer/Employee" Copy Employer-Provided Health Insurance Offer & Coverage, Pack of 50
1095C50
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$0.0000
Add to cart
1095-C "Employee/Employer" Copy Employer-Provided Health Insurance Offer & Coverage, Pack of 500
1095C500
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$0.0000
Add to cart
1095-C "Employee/Employer" Provided Health Insurance Offer & Coverage, Continuation, Pack of 100
1095CC
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$0.0000
Add to cart
1095-C "Employee/Employer" Provided Health Insurance Offer & Coverage, Continuation, Pack of 25
1095CC25
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$0.0000
Add to cart
1095-C "Employee/Employer" Employer-Provided Health Insurance Offer and Coverage, Continuation, Pack of 50
1095CC50
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$0.0000
Add to cart
1095-C "IRS" Copy Employer-Provided Health Insurance Offer & Coverage, Landscape, Pack of 100
1095CIRS
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$0.0000
Add to cart
1095-C "IRS" Copy Employer-Provided Health Insurance Offer & Coverage, Landscape, Pack of 25
1095CIRS25
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$0.0000
Add to cart
1095-C "IRS" Copy Employer-Provided Health Insurance Offer & Coverage, Pack of 50
1095CIRS50
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$0.0000
Add to cart
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