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Get 1094 B With 1040 Form

7 State or province Transmittal of Health Coverage Information Returns Information OMB No. XXXX-XXX about Form 1094-B and its separate instructions is at www.irs.gov/form1094b. 9 Total number of Forms 1095-B submitted with this transmittal. 2 Employer identification number EIN 4 Contact telephone number 6 City or town For Official Use Only 8 Country and ZIP or foreign postal code.

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