| Price per Pack of 100 Sheets | 2+ Packs | 5+ Packs | 10+ Packs | 20+ Packs |
| $57.53 | $51.06 | $47.13 | $46.42 | $45.72 |
| Savings | 11.2% | 18.1% | 19.3% | 20.5% |
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2022 IRS Employer Provided Health Insurance Offer and Coverage Forms, Landscape Version, 100 per pack. This health coverage form shows whether or not the employer offered health coverage to employees. This form is for employers with 50 or more full-time employees. Both insured and self-insured issue 1095-C. 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-C |
| 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: | 1095CIRS25 |
| 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 |