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Continuation sheet supplements the Affordable Care Act Tax Form to register health coverage with the Internal Revenue Service. This 1094-B Transmittal for 1095-B form includes prompts for covered individuals: name, social security number, date of birth and months of coverage. It is printed in black ink and is compatible with laser printers.
|machine compatibility||laser printer; all-in-one machine|
|number of sheets||50|
|sheet size||11" x 8 1/2"|
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