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Preprinted 1095-C Recipient Copy Blank Top


Use this form for printing form 1095-C. The top half is blank for your software to print mailing information. Recipient information is at the bottom, and instructions are on the back. Check your software for compatibility. Order by the number of sheets needed.

Note:  Please check your software for 1095 Envelope compatibility.

Construction: Laser Preprinted
Form: 1095-C
Pages: 1
Size: 8 1/2" x 11"
Horizontal Perforation: 5 1/2"

Minimum qty of 25. Order in increments of 25.