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

Item #: TOPL1095B
by TOPS™
Made in USA
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Delivery in 1 - 2 business days
Nationwide Stock: 74 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? y
Carton Pack Quantity 40 PK
Pack Quantity 50 SH
This item is sold by the PK which contains 50 SH
Manufacturer Info
Brand TOPS™  (website)
Brand Contact 800-282-7261
Manufacturer Stock No. L1095B
Retail UPC 087958510959
Country of Origin US
Tariff (Inbound) Code
UNSPSC Number 14111814
Meets ANSI/BIFMA? 087958510959
OTS Product ID 8380651

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Document printed / saved on 05/28/2017. Prices subject to change.