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1964 - Form 1095 Double Window Envelope (for Inserting Equipment)

1964 - Form 1095 Double Window Envelope (for Inserting Equipment)

1964
Bulk Pricing:
Buy in bulk and save

Bulk discount rates

Below are the available bulk discount rates for each individual item when you purchase a certain amount

  • Buy 2 - 499 and pay only $0.6210 each
  • Buy 500 - 999 and pay only $0.6210 each
  • Buy 1000 - 2499 and pay only $0.5000 each
  • Buy 2500 - 4999 and pay only $0.4760 each
  • Buy 5000 - 200000 and pay only $0.4640 each

Price per item:

$0.62

Total:

$ 500
Qty: Order a minimum of 500 and in multiples of 500
! Order in multiples of 500

Use this envelope with inserting equipment to send recipient copies of the 1095-C and 1095-B Affordable Care Act forms. The security tint and cellophane windows ensure the privacy of information. Window envelopes do not work with Federal landscape forms.

Our envelopes are compatible with the following forms:

  • B95BHPREC05 – 1095-B Half Page Recipient Copy
  • B95BFPREC05 1095-B Full Page Recipient Copy
  • B95BPERFI05 – Blank 1095-B Full Page with instructions
  • B95CHPREC05 – 1095-C Half Page Recipient Copy
  • B95CFPREC05 – 1095-C Full Page Recipient Copy
  • B95CPERFI05 – Blank 1095-C Full Page with instructions

Specifications:
Size: 5 5/8" x 9"
Top Window Size: 1" x 3 1/2"
Top Window From Left Side: 1/2"
Top Window From Bottom: 3 11/16"
Bottom Window Size: 3/4 x 3 1/2"
Bottom Window From Left Side: 1/2"
Bottom Window From Bottom: 2 1/2"
Weight: 24#
Material: White Wove
Ink Color: Black
Flap Opening: Long
Seal: Moisture