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Home > Office Supply > Office Supplies > Forms, Recordkeeping & Reference Materials > Forms > TOPS™ 1095-B Health Coverage Continuation Page

TOPS™ 1095-B Health Coverage Continuation Page

TOPS™ 1095-B Health Coverage Continuation Page
  • 1095-B health coverage continuation page.
  • Laser printer compatible.
  • Printed in black ink.

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


TOPS™

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Prices and Availability Subject to Change
Product Number Details Price Quantity
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%
PKList Price: $4.60
TODAY: $4.14
Unavailable