
TF5097 2023 Laser Blank ACA 1095 with Backer 8 1/2 x 11" QTY 100
$21.51
TF5097 2023 Laser Blank ACA 1095 with Backer
Size: 8 1/2 x 11"
Meet your reporting requirements under the Affordable Care Act (ACA).
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