Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan. Paper Filing Due Date: To IRS, February 28 // To Recipient January 31 Report to IRS in mandated landscape format. Continuation form is used in addition to 1095B, when an employee has more than 6 dependents. Compatible with laser or inkjet printers. 1 Filing per sheet. Shrinkwrapped in packs of 25.
SIZE: 11 x 8 1/2″
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| Quantity | 25, 50, 100, 150, 200 |
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