HSA, Archer MSA, or Medicare Advantage MSA Information Use Form 5498-SA Copy C
to print and file copy. 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. Order by number of forms, not sheets.
Compatible Envelopes: 99DWENV05 (Moisture Seal) | 99DWENVS05 (Self Seal) | 99DWENVSTE (Self Seal Tamper Evident)