TOPS™ - 1095-B Health Coverage Laser Form, 8 1/2 x 11, 50 Sheets/Pack

1095-B Health Coverage Laser Form, 8 1/2 x 11, 50 Sheets/Pack

Product No.	TOPL1095B
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)	Health Insurance Marketplace Statement
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%
Availability	Unavailable

List Price	N/A
PK	N/A

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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