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1095-B IRS Copy Health Coverage Continuation Forms Laser Cut Sheet (100 Sheets/Pack)

Item Number: 1095BIRSC25

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2022 IRS Copy Health Coverage Continuation Forms, 100 sheets per Pack, Landscape version. This health coverage form is used to report which months the insured and his or her family was covered under the plan. 8-1/2" x11", Printed in Black ink. 100 sheets per Pack
Brand:TFP Data Systems
Feature 1:Laser cut sheets for Inkjet and Laser printers
Feature 2:Ships in 4-5 business days
Carbonless:No
Claim Type:1095-B
Color:White
Condition:New
Currency:USD
Holes Punched:No
Pre-Printed:Yes
Package Height:11 in
Package Weight:8.00 LB
Package Width:8-1/2 in
Material:Paper
Country of Origin:USA
Manufacturer Part Number:1095BIRSC25
Number of Forms:25
Number of Items:200
Perforation:No
Ships in:4 to 5 Business Days (Plus time in transit)
Size:8-1/2 x 11 in
Style:Laser cut sheet
Text Color:Black