$8.39/Pack

Ships free with Plus

You must buy a minimum of 5 due to manufacturer packaging.

Other Available Sizes:

  • Required under the Affordable Care Act
  • Gives the IRS a report on individuals under minimum essential coverage
  • Form provides a copy of the report for employees and employers
  • Issued by insurance carriers and self-insured employers
  • Must be submitted by February 28 via mail or March 31 electronically
UPC Code:400015412681
Shipping:Usually Ships in 2 Business Days
ComplyRight 1095BIRSC25 Specs
Quantity25/Pack
Length11 Inches
Width8 1/2 Inches
Language English
Material Paper
Shape Rectangle
Type Tax Forms

ComplyRight 1095BIRSC25 Details

Provide essential tax records with this ComplyRight 8 1/2" x 11" 1095-B employee / employer copy of health coverage continuation laser tax form. Required under the Affordable Care Act, this document is a continuation of the first 1095-B form, and gives the IRS a report on individuals under minimum essential coverage. This form provides employers and employees with a copy of this important information.

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, 25 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.

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ComplyRight 1095BIRSC25

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