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TOPS™ 1095-B Health Coverage Continuation Page

Name: TOPS™ 1095-B Health Coverage Continuation Page
Brand: TOPS™
Availability: Discontinued

1095-B health coverage continuation page. Laser printer compatible. Printed in black ink.

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TOPL1095BCONT

Global Product Type: Forms-Tax	Form Size: 8 1/2 x 11
Forms Per Page: 1	Form Quantity: 50
Sheet Size: 8 1/2 x 11	Principal Heading(s): Covered Individuals Continuation Sheet
Layout: One Form per Sheet	Numbering: Preprinted at Top
Paper Color(s): White	Print and Ruling Color(s): Black
Numbering Color(s): Black	quantity: 50 per pack
Pre-Consumer Recycled Content Percent: 0%	Post-Consumer Recycled Content Percent: 0%
Total Recycled Content Percent: 0%

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*Company:
*Name:
*Email:
*Phone:
Address:
City:
State:
Ship to Zip code:
Location type:
Do you have a forklift or Loading Dock? Yes No
Do you Require a call to Schedule Delivery? Yes No