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BMS Super Forms 81650 Pressure Seal 1095 Blank EZ Fold Form 14'' P6353643BMS-81650 https://cdnimages.opentip.com/full/BMS/BMS-81650.jpg Super Forms 81650 Pressure Seal 1095 Blank EZ Fold Form 14'' Use this blank pressure seal form for printing forms 1095-B and 1095-C. Use your pressure seal equipment to fold and seal so the form will be ready to mail. Order by number of sheets. 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. A 1095-C form must be issued by employers with 50+ full time employees (including full-time equivalent employees) to employees and the IRS. Specifications:Construction: Pressure SealForm: 1095Pages: 1Size: 8 1/2\" x 14\"Horizontal Perforations: 3/8\", 5 1/2\", 10 5/8\", 11\", 11 3/8\"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. 6353643 0.0600lbs 0.00 0.00 0.00
Super Forms
145 2025-04-27 In Stock

Super Forms 81650 - Pressure Seal 1095 Blank EZ-Fold Form (14''), Price/EA

Brand Super Forms
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SKU: BMS-81650
Unit Price: $0.29
Promo: $0.26 Save 10% when you spend $99+ on select products Mix More
Min.Order Price: $145.00 for 500 units
Quantity:
In Stock
* This item must be ordered in multiples of 500.
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Product Description

Price is for EA.

Use this blank pressure seal form for printing forms 1095-B and 1095-C. Use your pressure seal equipment to fold and seal so the form will be ready to mail. Order by number of sheets.

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.

A 1095-C form must be issued by employers with 50+ full time employees (including full-time equivalent employees) to employees and the IRS.

Specifications:
Construction: Pressure Seal
Form: 1095
Pages: 1
Size: 8 1/2" x 14"
Horizontal Perforations: 3/8", 5 1/2", 10 5/8", 11", 11 3/8"

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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