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- Used by employers with 50 or more full-time employees to report information about offers of health coverage and enrollment in health coverage for their employees regarding sections 6055 and 6056.
- Heat-resistant ink can be printed from inkjet or laser printers.
- Landscape format is designed for placement inside non-window envelopes (sold separately).
|machine compatibility||inkjet printer; laser printer|
|manufacturer||TFP Data Systems|
|number of holes punched||0|
|number of parts||1|
|sheet size||letter (8 1/2" x 11")|
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