9377
$0.15
Form 1099-SA - Distributions From an HSA, Archer MSA, or Medicare Advantage MSA. Use Form 1099-SA Copy B to print and mail payment information to the recipient. 1099-SA Forms are 3up on an 8 1/2 x 11" sheet with a 1/2" side perforation and are printed on 20# laser paper. Mail to the recipient in compatible window envelopes. Order by number of forms, not sheets.
Compatible Envelopes: 99DWENV05 (Moisture Seal) | 99DWENVS05 (Self Seal) | 99DWENVSTE (Self Seal Tamper Evident)