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ACA Forms 

1095-B IRS Copy Health Coverage

1095-B IRS Copy Health Coverage

1095-B IRS Copy Hlth Cov. Laser Cut Sheet-Landscape Version

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1095-B IRS Copy Health Coverage - Continuation Sheet

1095-B IRS Copy Health Coverage - Continuation Sheet

1095-B IRS Copy Health Coverage Continuation -Landscape Version

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1095B Employee Copy

1095B Employee Copy

1095B Employee Copy Potrait Verson / Bottom Half

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1095BC Continuation Sheet Employee Copy

1095BC Continuation Sheet Employee Copy

1095BC Continuation Sheet Employee Copy Potrait Version / Top Half

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1095-C IRS Employer-Provided Health Insurance Full Page Landscape Version

1095-C IRS Employer-Provided Health Insurance Full Page Landscape Version

1095-C IRS Employer-Provided Health Insurance Full Page Landscape Version

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1095-C IRS Continuation Sheet Employer-Provided Health Insurance

1095-C IRS Continuation Sheet Employer-Provided Health Insurance

1095-C IRS Employer-Provided Health Insurance Continuation

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1095-C Employer-Provided Health Insurance

1095-C Employer-Provided Health Insurance

1095-C Employer-Provided Health Insurance Portrait Version / Bottom Half

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1095C Continuation Employer - Provided Health Insurance

1095C Continuation Employer - Provided Health Insurance

1095C Continuation Sheet Employer - Provided Health Insurance Portrait Version / Top Half

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1095B Pressure Seal Form--Preprinted

1095B Pressure Seal Form--Preprinted

1095B Pressure Seal Form

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1095C Pressure Seal Form--Preprinted

1095C Pressure Seal Form--Preprinted

1095C Pressure Seal Form Preprinted Front and Back

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Pressure Seal 1095B/C Form Blank Face with B & C Backer

Pressure Seal 1095B/C Form Blank Face with B & C Backer

Pressure Seal 1095B/C Form Blank Face with B & C Backer

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1095B/C Blank - Blank Face With B and C Backers

1095B/C Blank - Blank Face With B and C Backers

1095B/C Blank - Blank Face With B and C Backers

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1094B Transmittal Form

1094B Transmittal Form

1094-B Transmittal Forms

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1094C Transmittal Form

1094C Transmittal Form

1094-C Transmittal Forms

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Government Forms & Supplies
2021 Floyd Blvd
PO Box 3290
Sioux City, IA 51104
844-224-3338

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