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1095-C IRS Employer-Provided Health Insurance Offer and Coverage Form, Landscape Version (100 Sheets/Pack)

Item Number: 1095CIRS25

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$57.53 $51.06$47.13$46.42$45.72

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  • Laser cut sheets for Inkjet and Laser printers
  • Ships in 4-5 business days
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Description:

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

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Specifications:
Brand:TFP Data SystemsCarbonless:No
Claim Type:1095-CColor:White
Condition:NewCurrency:USD
Holes Punched:NoPre-Printed:Yes
Package Height:11 inPackage Weight:8.00 LB
Package Width:8-1/2 inMaterial:Paper
Country of Origin:USAManufacturer Part Number:1095CIRS25
Number of Forms:25Number of Items:200
Perforation:NoShips in:4 to 5 Business Days (Plus time in transit)
Size:8-1/2 x 11 inStyle:Laser cut sheet
Text Color:Black
Brand:TFP Data Systems
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
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