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IRS Forms 1094-B

Learn more about the IRS Form 1094-B

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FORM 1094-B

Click on the individual boxes below for specific IRS Instructions

IRS.gov: Affordable Care Act 1094-B IRS.gov: Affordable Care Act 1094-B, Line 1, Filer's Complete Name IRS.gov: Affordable Care Act 1094-B, Line 2, Filer's EIN IRS.gov: Affordable Care Act 1094-B, Lines 3 and 4, Contact Person's Name and Telephone Number IRS.gov: Affordable Care Act 1094-B, Lines 5-8, Filer's Complete Address IRS.gov: Affordable Care Act 1094-B, Line 9, Total number of 1095-B forms transmitted with 1094-B

Part IV: Covered Individuals (Continuation)
Line 1, Filer's Complete Name
Line 2, Filer's EIN
Lines 3 and 4, Contact Person's Name and Telephone Number
Lines 5-8, Filer's Complete Address
Line 9, Total number of 1095-B forms transmitted with 1094-B



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IRS Forms 1095-B

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