1095-B & C Health Coverage Blank w/Backer Instructions

1095-B & C Health Coverage Blank w/Backer Instructions

• Blank form includes Backer Instructions can be used for either 1095-B or 1095-C forms suitable for employee or employer copies
• Portrait format
• Laser-cut sheets
• Printed with heat-resistant ink for use with most inkjet and laser printers
• 1 page equals 1 form
• Pack of 50 forms
• Compatible envelopes are L1013 and L1012


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 = 50.

If you are ordering more than 10,000 forms, please contact service@formstax.com for custom pricing.