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BMS Super Forms B95BFPREC05 Form 1095 B Full Page Recipient Copy P6353663BMS-B95BFPREC05 https://cdnimages.opentip.com/full/BMS/BMS-B95BFPREC05.jpg Super Forms B95BFPREC05 Form 1095 B Full Page Recipient Copy Preprinted Form 1095-B. Full page with preprinted instructions on back.?Use this blank laser form for printing form 1095-B. Instructions are preprinted on the back. A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage.?Order by the number of sheets needed.Compatible Envelopes: 95DWENV05 (Moisture Seal) | 95DWENVS05 (Self Seal)?Specifications:Construction: Laser PreprinForm: 1095-BPages: 1Size: 8 1/2\" x 11\"Forms /Sheet: 1upHorizontal Perforation: 5 1/2\"For the tax form, If you order before May, it will be for previous tax year (2023). If you order after May, it will be for the present tax year (2024). Please make a comment if you need previous year\'s form. 6353663 0.0200lbs 0.00 0.00 0.00
Super Forms
3.25 2025-07-18 In Stock

Super Forms B95BFPREC05 - Form 1095-B - Full Page (Recipient Copy)

Brand Super Forms
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SKU: BMS-B95BFPREC05
List Price: $0.16
Unit Price: $0.13
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Min.Order Price: $3.25 for 25 units
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Product Description

Preprinted Form 1095-B. Full page with preprinted instructions on back.?Use this blank laser form for printing form 1095-B. Instructions are preprinted on the back. A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage.?Order by the number of sheets needed.

Compatible Envelopes: 95DWENV05 (Moisture Seal) | 95DWENVS05 (Self Seal)?

Specifications:
Construction: Laser Preprin
Form: 1095-B
Pages: 1
Size: 8 1/2" x 11"
Forms /Sheet: 1up
Horizontal Perforation: 5 1/2"

For the tax form, If you order before May, it will be for previous tax year (2023).
If you order after May, it will be for the present tax year (2024). Please make a comment if you need previous year's form.

warning tips WARNING: This product can expose you to chemicals which are known to the State of California to cause cancer, birth defects, or other reproductive harm. For more information, go to www.p65warnings.ca.gov.

Specifications

Return Policy

Dated products, including tax forms, must be exchanged or returned unopened by December 1.
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