General Information

Manufacturer: TOPS Products
Manufacturer Part Number: L1095B
Manufacturer Website Address:
Brand Name: TOPS
Product Name: 1095B Affordable Care Act Tax Form
Marketing Information: Affordable Care Act Tax Form is a required form to register health coverage with the Internal Revenue Service. This 1095-B form includes prompts for information about the responsible individual; employer sponsored coverage; issuer or other coverage provider; and covered individuals. It is printed in black ink and is compatible with laser printers.
Packaged Quantity: 50 / Pack
Product Type: Tax Form

Product Information

Number of Sheets: 50
Sheet Standard: Legal
Sheet Size: 11" Width x 8 1/2" Length
Sheet Color: White
Print Color: Black
Print Technology: Laser

Physical Characteristics

Height: 0.1"
Width: 8.5"
Length: 11"

Miscellaneous

Recycled: No
Assembly Required: No
Country of Origin: United States