TOPS 1094B Transmittal Tax Form

Affordable Care Act Tax Form is a required form to register health coverage with the Internal Revenue Service. This 1094-B Transmittal for 1095-B form includes prompts for the filer's name, employee identification number, contact person, address and signature. It is printed in black ink and is compatible with laser printers.

TOPS 1094B Transmittal Tax Form - 25 Sheet(s) - Legal - 11" x 8 1/2" Sheet Size - White Sheet(s) - Black Print Color - 25 / Pack