TOPL1095BCONT | TOPS(TM) 1095-B Health Coverage Continuation Page |
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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): Covered Individuals Continuation Sheet |
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% |