Toggle navigation
Log-in
Home
Page Index
User Index
Application Index
Global
What's New
Wiki Index
Search
Windows
…
Affordable Care Act (ACA)
IRS Forms
IRS FORM 1094-B
IRS FORM 1094-B
Last modified by
Derek K
on 2024/02/07 22:29
FORM 1094-B
Click on the individual boxes below for specific IRS Instructions
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
Related Pages:
IRS Forms 1095-C
Learn more about the IRS Form 1095-C.
IRS Forms 1094-C
Learn more about the IRS Form 1094-C.
IRS Forms 1095-B
Learn more about the IRS Form 1095-B.