9377 - Form 1099-SA Distributions from an HSA, Archer MSA, Or Medicare Advantage MSA - Copy B Recipient
Below are the available bulk discount rates for each individual item when you purchase a certain amount
HSA, Archer MSA, or Medicare Advantage MSA Information. Use Form 5498-SA Copy B to print and mail payment information to the recipient. 5498-SA Forms are 3up on an 8 1/2 x 11" sheet with a 1/2" side perforation and are printed on 20# laser paper. Mail to the recipient in compatible window envelopes. Order by number of forms, not sheets.
Compatible Envelopes: 99DWENV05 (Moisture Seal) | 99DWENVS05 (Self Seal) | 99DWENVSTE (Self Seal Tamper Evident)