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Kerr Forms
P.O. Box 681
Tarrytown, NY 10591


Phone:
800-544-3427

Fax:
800-261-1499
Email:
info@kerrforms.com

Affordable Care Act Forms

1095K - Blank 1095 Form

Blank form with 1095-B and 1095-C backer instructions. Sold in packs of 50 sheets.
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1095KB - Blank 1095 form (bulk pack)

Blank form with 1095-B and 1095-C backer instructions. Sold in packs of 500 sheets.
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7777-1 - 1095 Regular Seal Envelope

Regular seal double window envelope for 1095 forms.
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7777-2 - 1095 Self-Seal Envelope

Self-seal double window envelope for 1095 forms.
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P195BC - Blank 14" Pressure seal 1095

Blank 14" Pressure seal form with 1095-B and 1095-C instructions on back. Eccentric Z-fold, printed on 28# ledger bond paper. Sold in packs of 500 sheets.
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