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2017 Pressure Seal Blank ACA Form 1095 w/Backer

Item#: Size:
Quantity 500 1000 2000 3000 4000
TF5508  1-Part/Original $261.99 $485.99 $917.99 $1,319.99 $1,712.99
We recommend this quantity.
1.  Quantity

Benefits and Features

Meet your reporting requirements under the Affordable Care Act (ACA).

  • Blank form with backer functions as 1095B or 1095C when your software prints the entire front side.
  • 1 filing per sheet; packaged 500 forms per carton.
  • Paper filing due date: to IRS by February 28 / to recipient by January 31.
  • Make your own self-mailer. Small glue capsules around the edge of forms burst when run through a sealing machine to create a bond and a self-mailer.