You have successfully added an item to your cart. View Cart

1964 - Form 1095 Double Window Envelope (for Inserting Equipment)

Bulk Pricing:
Buy in bulk and save

Price per item:



$ 500
Qty: Order a minimum of 500 and in multiples of 500
! Order in multiples of 500

Use this envelope with inserting equipment to send recipient copies of the 1095-C and 1095-B Affordable Care Act forms. The security tint and cellophane windows ensure the privacy of information. Window envelopes do not work with Federal landscape forms.

Our envelopes are compatible with the following forms:

  • B95BHPREC05 – 1095-B Half Page Recipient Copy
  • B95BFPREC05 1095-B Full Page Recipient Copy
  • B95BPERFI05 – Blank 1095-B Full Page with instructions
  • B95CHPREC05 – 1095-C Half Page Recipient Copy
  • B95CFPREC05 – 1095-C Full Page Recipient Copy
  • B95CPERFI05 – Blank 1095-C Full Page with instructions

Size: 5 5/8" x 9"
Top Window Size: 1" x 3 1/2"
Top Window From Left Side: 1/2"
Top Window From Bottom: 3 11/16"
Bottom Window Size: 3/4 x 3 1/2"
Bottom Window From Left Side: 1/2"
Bottom Window From Bottom: 2 1/2"
Weight: 24#
Material: White Wove
Ink Color: Black
Flap Opening: Long
Seal: Moisture