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Ships within 48 hours · Estimated delivery Aug 27 - Sep 1
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Overall Size: 4 1/8" x 9 1/2"
address & logo
The sheets contain three horizontal perforations creating four forms
Transmittal of Health Coverage Information Returns
1094-B Transmittal of Health Coverage Information Returns W-2 and AddressTransmittal of Health Coverage Information Returns. Use the 1094 B Transmittal as a coversheet when filing 1095 B forms to the IRS. (Approved 2025 version coming soon) Please contact us for other quantities needed.
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