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1095BA - 1095-B IRS Copy A

1095BA - 1095-B IRS Copy A

1095-B IRS Copy A Health Coverage Form for employers with less than 50 full-time employees (accommodates up to 6 covered individuals) with instructions on back. Sold in packs of 50 sheets. One employee per sheet.



Size: 11" x 8 1/2"

Pricing:

Qty. Price
1 - 5$17.13
6 - 10$16.30
11 - 20$15.24
21 +$14.16

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