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

Item #: TOPL1095B
by TOPS™
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Nationwide Stock: 52 PK
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Product Details

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

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

Product Specifications

Item Specifications
Brand TOPS™
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
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%

Dimensions / Specifications
Unit of Measure PK
Item Weight 0.600 lbs
Ships via UPS? Yes
Carton Pack Quantity 40 PK
Pack Quantity 50 SH
This item is sold by the PK which contains 50 SH
Warranty Offered? No
Manufacturer Info
Brand TOPS™  (website)
Brand Contact 800-282-7261
Warranty Offered? n
Manufacturer Stock No. L1095B
Staples Equivalent SKU 1916790
Retail UPC 087958510959
Country of Origin US
UNSPSC Number 14111814
Meets ANSI/BIFMA? 087958510959
OTS Product ID 8380651

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Document printed / saved on 06/22/2018. Prices subject to change.