Pressure Seal Blank ACA Form 1095 w/Backer

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.