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81650 - Pressure Seal 1095 Blank EZ-Fold Form (14'')


Price per item:



$ 500
Qty: Order a minimum of 500 and in multiples of 500
! Order in multiples of 500
Use this blank pressure seal form for printing forms 1095-B and 1095-C.

8 ½” x 14” Sheet

A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage.

A 1095-C form must be issued by employers with 50+ full time employees (including full-time equivalent employees) to employees and to the IRS.


To order a free sample, please contact us at 1-800-968-1099, or