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Product Overview

  • Required under the Affordable Care Act
  • Summarizes transmittal records of 1095-B forms
  • Accompanies 1095-B forms when sent to the IRS
  • Must be submitted by 2/28 via mail or 3/31 electronically
  • 50 per pack for long-lasting use
UPC Code:400015412629
Shipping:Usually Ships in 2 Business Days
ComplyRight 1094BT50 Specs
Quantity50/Pack
Shipping Weight1 lb.
Length11 Inches
Width8 1/2 Inches
Features Made in America
Language English
Material Paper
Shape Rectangle
Type Tax Forms

ComplyRight 1094BT50 Details

Provide essential tax records with this ComplyRight 8 1/2" x 11" 1094-B transmittal of health coverage information returns laser tax form. Required under the Affordable Care Act, this document allows you to provide a summary of 1095-B transmittal records. The form should accompany 1095-B forms when sent to the IRS.

At a standard 8 1/2" x 11" size, this form can be easily folded down to fit in a mailing envelope. It is made on laser paper for a crisp finish. Plus, 50 forms per pack are included for long-lasting use. This form should be submitted by February 28 via mail or March 31 electronically.

Overall Dimensions:
Length: 11"
Width: 8 1/2"

Because this item is not stocked in our warehouse, processing, transit times and stock availability will vary. If you need your items by a certain date, please contact us prior to placing your order. Expedited shipping availability may vary. We cannot guarantee that this item can be cancelled off of the order or returned once it is placed.

  • Made in America

    Made in America

    This item was made in the United States of America.

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ComplyRight 1094BT50

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