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TF5097 2022 Laser Blank ACA 1095 with Backer 8 1/2 x 11"  QTY 100

TF5097 2022 Laser Blank ACA 1095 with Backer 8 1/2 x 11" QTY 100

$20.24
TF5097 2022 Laser Blank ACA 1095 with Backer
Size: 8 1/2 x 11"
Meet your reporting requirements under the Affordable Care Act (ACA).
  • Blank form with backer functions as 1095B or 1095C when your software prints the entire front side.
  • Black ink imprint
  • Laser form
  • One page with backer information per form.
  • Compatible with laser or inkjet printers.
  • This form is not available in multiple copies.  You must order for the total number of copies you need (ex. 50 employees - in most cases you will need one copy for the employee, one for the employer, and one for the IRS so you must order quantity 150).
  • 1 filing per sheet.
  • 100 per pack


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