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Tax Form 1094-B Transmittal of Health Coverage (1094BT)

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  • Form 1094-B, Transmittal of Health Coverage Information Returns

  • 1 form per sheet (Order by number of forms)

2023 Forms available after November 1. Image will be updated upon availability.

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  • 1094 & 1095 Tax Forms ,
  • 1094 & 1095 Tax Forms

    • Tax Form 1094-B Transmittal of Health Coverage (1094BT)

    $ 0.13 $ 0.11
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    Use this transmittal as a coversheet when submitting form 1095-B to the IRS.


    • Pre-printed laser cut sheet 1 form per sheet (Order by number of forms)

    • Actual Size: 8.5"W x 11"H

    • Compatible with envelope 7777

    • Minimum Order Quantity: 100

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