HON Ignition Multi-Purpose Chair

Continuation sheet supplements the Affordable Care Act Tax Form to register health coverage with the Internal Revenue Service. This 1094-B Transmittal for 1095-B form includes prompts for covered individuals: name, social security number, date of birth and months of coverage. It is printed in black ink and is compatible with laser printers.

HON Ignition Multi-Purpose Chair - Black Fabric Seat - Steel Frame - Sled Base - 25" Width x 21.8" Depth x 33.5" Height - 1 Each