Product Detail information as of 4/25/2019 12:40:11 AM
Price and availability are subject to change.

TOPS 1095B Affordable Care Act Tax Form - 50 Sheet(s) - Legal - 8.50" x 11" Sheet Size - White Sheet(s) - Black Print Color - 50 / Pack L1095B TOPL1095B

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General Information:

Affordable Care Act Tax Form is a required form to register health coverage with the Internal Revenue Service. This 1094-B Transmittal for 1095-B form includes prompts for information about the responsible individual; employer sponsored coverage; issuer or other coverage provider; and covered individuals. It is printed in black ink and is compatible with laser printers.

Manufacturer TOPS Products
Manufacturer Part Number L1095B
Manufacturer Website Address
Brand Name TOPS
Product Name 1095B Affordable Care Act Tax Form
Packaged Quantity 50 / Pack
Product Type Tax Form
Product UPC 087958510959
Product Information:
Number of Sheets 50
Sheet Standard Legal
Sheet Size 11" Width x 8 1/2" Length
Sheet Color White
Print Color Black
Physical Characteristics:
Height 0.1"
Width 8.5"
Recycled No
Country of Origin United States

This product was added to our catalog on Friday January 1, 2016

All products are brand new and factory sealed unless otherwise stated.

  1095-B health coverage forms. Laser printer compatible. Printed in black ink. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 50; Sheet Size: 8 1/2 x 11.
Global Product Type: Forms-Tax
Form Size: 8 1/2 x 11
Forms Per Page: 1
Form Quantity: 50
Sheet Size: 8 1/2 x 11
Principal Heading(s): Health Insurance Marketplace Statement
Layout: One Form per Sheet
Numbering: Preprinted at Top
Paper Color(s): White
Print and Ruling Color(s): Black
Numbering Color(s): Black
Pre-Consumer Recycled Content Percent: 0%
Post-Consumer Recycled Content Percent: 0%
Total Recycled Content Percent: 0%

Ground (EST. Arrival Date between Monday, April 29 - Thursday, May 2) = $7.99
Two Day Air (EST. Arrival Date on Monday, April 29) = $25.00
Standard One Day (EST. Arrival Date on Friday, April 26 after 3PM) = $35.00
Priority (EST. arrival Date on Friday, April 26 in the AM) = $45.00
U.S Mail Priority (AA,AE,AP only) = $30.00

Shipping dates are best estimates based on product location and may vary with holidays.

* Some destinations are subject to Applicable State/Duty Taxes

United Office Products realizes that every product may have different return guidelines. Please see the policy below regarding this item.

This Product Has Limited Exchange Privileges.

Limited returns within 30 days of purchase permitted on this product.

For support on this product, please contact Tops. 800-621-1291


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