1095-B & C Health Coverage 14" Pressure Seal Blank

1095-B & C Health Coverage 14" Pressure Seal Blank

• Blank form includes Backer Instructions can be used for either 1095-B or 1095-C forms suitable for employee or employer copies
• 14" Z-fold format does not require envelopes
• Produced on quality 28# paper to ensure trouble-free printing and folding
• Printed with heat-resistant ink for use with most inkjet and laser printers
• 1 page equals 1 form
• Pack of 500 forms


This product offers tiered pricing, giving a lower price per form when you increase the quantity ordered. The table below shows pricing for Pack Size = 500.