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ComplyRight CMS-1500 Health Insurance Claim Form (02/12), 1000/Carton (CMS12LC1)

ComplyRight CMS-1500 Health Insurance Claim Form (02/12), 1000/Carton (CMS12LC1)

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
The most significant change was the addition of 8 diagnosis codes in field 21
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
$49.99 Carton
This item ships FREE *
Item # 901-CMS12LC1
Model # CMS12LC1
Adams Carbonless Receipt Book, 11 x 8, 3-Part, 100 Sets/Book (TC1182)

Adams Carbonless Receipt Book, 11" x 8", 3-Part, 100 Sets/Book (TC1182)

Carbonless soft-cover money/receipt books for general receipts
Originals are white in color and copies are canary and pink in color and made of smooth carbonless paper for convenience
Contains one 100-receipt book per pack
$13.59 Each
When you buy 6+
or
This item ships FREE *
Item # 901-TC1182
Model # TC1182
Adams® Carbonless Receipt Book, 3 x 8, 2-Part, 200 Sets/Book (SC1182)

Adams® Carbonless Receipt Book, 3" x 8", 2-Part, 200 Sets/Book (SC1182)

Rent receipt books for recording monthly financial payments
Carbonless paper creates white originals and canary duplicates
Four forms per page and 50 pages; 200 forms per book
$15.59 Each
When you buy 3+
or
This item ships FREE *
Item # 901-SC1182
Model # SC1182
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 250/Box

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 250/Box

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$14.59 Box
This item ships FREE *
Item # 901-CMS12LC250
Model # CMS12LC250
TOPS Money/Rent Receipt Book, 200 Sets/Book, White/Canary (4161)

TOPS Money/Rent Receipt Book, 200 Sets/Book, White/Canary (4161)

Use this receipt book for rent payments or any other type of payment
Original form is white with blue and red ink and canary duplicate with a black/white image
50 pages with four perforated two-part carbonless forms per page
$11.99 Pad
This item ships FREE *
Item # 901-745083
Model # 4161
ComplyRight 2021 W-2 Tax Forms, Laser, Pack of 50 (95214E)

ComplyRight 2021 W-2 Tax Forms, Laser, Pack of 50 (95214E)

Form W-2 and transmittal form W-3 for reporting wages and tax statements
Pre-packaged four-part form set includes copies A, B, C, D
Laser-cut sheet
$25.99 Each
This item ships FREE *
Item # 901-24431085
Model # 95214E
TOPS W-2 Tax Form, 4 Part KIT, White, 8 1/2 x 11, 50 Forms of Copy A, B, C, D and Envelopes (LW242

TOPS W-2 Tax Form, 4 Part KIT, White, 8 1/2" x 11", 50 Forms of Copy A, B, C, D and Envelopes (LW2425Q)

W-2 Tax Forms for every employer with one or more employees to report employee wages, tips, Federal Income and Social Security Tax withheld by the Federal Government
4-part kit includes 50 forms of each Copy A, B, C, D and double window envelopes
Copy A printed in scannable red ink, other copies printed in black
$22.99 Pack
This item ships FREE *
Item # 901-5645E
Model # 5645E
ComplyRight 2021 W-2 Tax Forms Set with Envelopes, Laser, Pack of 50 (95218E)

ComplyRight 2021 W-2 Tax Forms Set with Envelopes, Laser, Pack of 50 (95218E)

Form W-2 and transmittal form W-3 for reporting wages and tax statements
Pre-packaged eight-part form set includes copies A, B, C, D, 1, 2
Compatible with laser printer
$32.99 Each
This item ships FREE *
Item # 901-24431094
Model # 95218E
Adams® Carbonless Receipt Book, 5 x 11, 2-Part, 200 Sets/Book (SC1152)

Adams® Carbonless Receipt Book, 5" x 11", 2-Part, 200 Sets/Book (SC1152)

Money/rent receipt book for recording rent payments and other payments
White originals and canary duplicates and made of carbonless paper
Contains 200 receipts per book; four forms per page
$15.59 Each
When you buy 3+
or
This item ships FREE *
Item # 901-SC1152
Model # SC1152
Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)

Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)

The employee personnel file folder is complete with space for any case
Number of parts: 1
Contains 20 per pack for bulk purchasing
$18.29 Pack
When you buy 3+
or
This item ships FREE *
Item # 901-9287
Model # 9287
New
ComplyRight 2021 1096 Transmittal Tax Form, White/Red/Black, 25/Pack (510025)

ComplyRight 2021 1096 Transmittal Tax Form, White/Red/Black, 25/Pack (510025)

Use form 1096 to submit the totals from information returns to the Internal Revenue Service
Single-part
For laser printers
$11.99 Each
This item ships FREE *
Item # 901-24507927
Model # 510025
Adams 2-Part Carbonless Sales Orders Book, 5.56W x 8.44L, 50 Forms/Book (DC5805)

Adams 2-Part Carbonless Sales Orders Book, 5.56"W x 8.44"L, 50 Forms/Book (DC5805)

Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 5.56"W x 8.44"L; detached: 5.56"W x 7.94"L
2-Part White/Canary Carbonless forms for accurate record keeping
$7.69 Each
This item ships FREE *
Item # 901-196113
Model # DC5805
TOPS Employee Record Master File, 20/Pack (TOP 3280)

TOPS Employee Record Master File, 20/Pack (TOP 3280)

Employee personal file includes all you need to build a complete employee record
20 personal files per pack
Comes in manila color with blue ink
$29.99 Pack
When you buy 10+
or
This item ships FREE *
Item # 901-3280Q
Model # 3280
New
ComplyRight 2021 1099-NEC 3-Up Federal Copy A Tax Form, White/Red, 50/Pack (NEC511050)

ComplyRight 2021 1099-NEC 3-Up Federal Copy A Tax Form, White/Red, 50/Pack (NEC511050)

File form 1099-NEC for each person in the course of your business to whom you have paid during the year
Single-part, 3-up: Federal Copy A
For laser printers
$9.99 Each
This item ships FREE *
Item # 901-24507941
Model # NEC511050
ComplyRight TaxRight 2021 1099-NEC Tax Form Kit, 50/Pack (NECSC6103ES)

ComplyRight TaxRight 2021 1099-NEC Tax Form Kit, 50/Pack (NECSC6103ES)

1099-NEC tax form kit with software and envelopes
Four parts
Laser-compatible
$22.49 Each
When you buy 5+
or
This item ships FREE *
Item # 901-24461403
Model # SNECC6103ES
TOPS 2021 1099-MISC Laser Tax Forms, 50/Pack (LMISCREC-S)

TOPS 2021 1099-MISC Laser Tax Forms, 50/Pack (LMISCREC-S)

1099-MISC Tax Forms are used to report rents, royalties, prizes and awards, fishing boat proceeds, fees, commissions paid to non-employees, receipts of medical and health care payments, and substitute payments in lieu of dividends or interest
50 sheets per pack, 2 forms per sheet
Laser/inkjet printer compatible
$7.99 Pack
This item ships FREE *
Item # 901-920081
Model # TOPLMISCREC
Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)

Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)

Includes the necessary information for every type of position
Contains 50 two-sided forms per pad, two pads per package
Perfect contrast of blue ink on white paper
$17.29 Pack
When you buy 3+
or
This item ships FREE *
Item # 901-9661
Model # 9661
Dome® Shortcut Payroll Books

Dome® Shortcut Payroll Books

For businesses with 1-50 employees
Double-page spread
Holds records for one year
$16.29 Each
This item ships FREE *
Item # 901-137240
Model # 650
TOPS 2021 1099-NEC Copy C or 2 Laser/Inkjet Tax Forms, 100 Forms/Pack (LNECPAY2)

TOPS 2021 1099-NEC Copy C or 2 Laser/Inkjet Tax Forms, 100 Forms/Pack (LNECPAY2)

Form 1099-NEC records all nonemployee compensation to the IRS and recipients, replacing Box 7 on the 1099-MISC
The 2021 1099-NEC must be mailed or e-filed to the IRS and furnished to your recipients by February 1, 2021
Copy C/2 Payer and State sheets are printed 3 to a page on 50 micro perforated sheets
$7.49 Pack
When you buy 5+
or
This item ships FREE *
Item # 901-LNECPAY2
Model # LNECPAY2
Adams 2021 1099-NEC Tax Form Kit, 12/Pack (STAX51221-NEC)

Adams 2021 1099-NEC Tax Form Kit, 12/Pack (STAX51221-NEC)

Form and envelope kit you need to report nonemployee compensation for 12 recipients; includes access to Tax Forms Helper - the easy way to file
2021 1099-NEC must be mailed or e-filed to the IRS and furnished to your recipients by January 31, 2022
Five-part 1099-NEC form prints three to a page on four microperforated sheets with copies A, C, B, 2, C
$29.99 Pack
This item ships FREE *
Item # 901-24491756
Model # STAX51221-NEC
ComplyRight 2021 W-2 Tax Forms, Laser, Pack of 100 (5205)

ComplyRight 2021 W-2 Tax Forms, Laser, Pack of 100 (5205)

W-2 employee four-up box copy B, C, 2, 2 or extra copy cut sheet
Single-part four-up box sheet
For laser printers
$9.79 Each
This item ships FREE *
Item # 901-24461399
Model # 5205
ComplyRight TaxRight 2021 1099-NEC Tax Form Kit, 10/Pack (NECSC6103E10)

ComplyRight TaxRight 2021 1099-NEC Tax Form Kit, 10/Pack (NECSC6103E10)

1099-NEC tax form kit with envelopes
Four parts
Laser-compatible
$7.79 Each
When you buy 5+
or
This item ships FREE *
Item # 901-24461405
Model # SNECC6103E10
Adams 2-Part Carbonless Sales Orders Book, 5.63L x 3.34W, 50 Forms/Book, 10/Pack (ABF DC3510)

Adams 2-Part Carbonless Sales Orders Book, 5.63"L x 3.34"W, 50 Forms/Book, 10/Pack (ABF DC3510)

General-purpose sales book is ideal for use when receipt or guest check needs to be written
Business form size: 5.63"L x 3.34"W; detached form size: 5.13"L x 3.34"W
2-Part Carbonless forms for accurate record keeping
$20.29 Pack
When you buy 3+
or
This item ships FREE *
Item # 901-DC3510
Model # DC3510
TOPS Receipts, 2.75L x 7.13W, 100/Pack (46808)

TOPS Receipts, 2.75"L x 7.13"W, 100/Pack (46808)

Money receipt book is consecutively numbered for easy organization
Envelopes are not included
Business form size: 2.75"L x 7.13"W; sheet size: 10.88"L x 7.63"W
$13.79 Each
When you buy 3+
or
This item ships FREE *
Item # 901-46808
Model # 46808
Adams 3-Part Carbonless Receipts Book, 7.19W x 2.75L, 50 Forms/Book, Each (ABF TC2701)

Adams 3-Part Carbonless Receipts Book, 7.19"W x 2.75"L, 50 Forms/Book, Each (ABF TC2701)

Money and rent receipt book is consecutively numbered for easy organization
Form size: 7.19"W x 2.75"L
3-Part Carbonless forms for accurate record keeping
$7.29 Each
When you buy 10+
or
This item ships FREE *
Item # 901-TC2701
Model # TC2701
Adams 2-Part Carbonless Purchase Requisitions Book, 8.44L x 5.56W, 50 Forms/Book, Each (ABF DC5831

Adams 2-Part Carbonless Purchase Requisitions Book, 8.44"L x 5.56"W, 50 Forms/Book, Each (ABF DC5831)

Keep a bound copy for a permanent record using this purchase requisitions
Business form size: 8.44"L x 5.56"W; detached form size: 5.56"L x 7.94"W
2-Part Carbonless forms for accurate record keeping
$9.29 Each
When you buy 3+
or
This item ships FREE *
Item # 901-DC5831
Model # DC5831
Adams 2-Part Carbonless Receipts Book, 2.75L x 7.13W, 200 Forms/Book, Each (DC1182)

Adams 2-Part Carbonless Receipts Book, 2.75"L x 7.13"W, 200 Forms/Book, Each (DC1182)

Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 7.13"W; page size 11"L x 7.63"W
2-Part Carbonless forms for accurate record keeping
$15.79 Each
When you buy 6+
or
This item ships FREE *
Item # 901-DC1182
Model # DC1182
New
ComplyRight 2021 1099-NEC 3-Up Recipient Copy B Tax Form, White/Black, 50/Pack (NEC511150)

ComplyRight 2021 1099-NEC 3-Up Recipient Copy B Tax Form, White/Black, 50/Pack (NEC511150)

File form 1099-NEC for each person in the course of your business to whom you have paid during the year
Single-part, 3-up: Recipient Copy B
For laser printers
$9.99 Each
This item ships FREE *
Item # 901-24507937
Model # NEC511150
New
ComplyRight 2021 W-2 2-Up Federal Copy A Tax Form, White/Red/Black, 50/Pack (520150)

ComplyRight 2021 W-2 2-Up Federal Copy A Tax Form, White/Red/Black, 50/Pack (520150)

W-2 form provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part, 2-up: IRS Federal Copy A
For laser printers
$9.99 Each
This item ships FREE *
Item # 901-24507966
Model # 520150
New
ComplyRight 2021 W-3 Transmittal Tax Form, White/Black/Red, 25/Pack (520025)

ComplyRight 2021 W-3 Transmittal Tax Form, White/Black/Red, 25/Pack (520025)

W-3 summary transmittal form is used to report total annual earnings, Social Security wages, Medicare wages, and withholding for all your employees to the Social Security Administration
Single-part
Compatible with laser printers
$11.99 Each
This item ships FREE *
Item # 901-24507961
Model # 520025
TOPS 2021 1098 Mortgage Interest Laser Forms, 50 Forms/Pack (L1098FED-S)

TOPS 2021 1098 Mortgage Interest Laser Forms, 50 Forms/Pack (L1098FED-S)

1098 Mortgage Interest Tax Forms detail the amount of interest and mortgage-related expenses paid on a mortgage during the tax year
Federal Copy A laser cut sheet form
Laser/inkjet printer compatible
$8.07 Pack
This item ships FREE *
Item # 901-920020
Model # TOPL1098FED
TOPS 2-Part Carbonless Purchase Requisitions Book, 7.94L x 5.56W, 50 Forms/Book, Each (TOP 46140)

TOPS 2-Part Carbonless Purchase Requisitions Book, 7.94"L x 5.56"W, 50 Forms/Book, Each (TOP 46140)

Purchase order books are designed to help you write orders memos in a clear manner
Business form size: 7.94"L x 5.56"W; detached form size: 5.56"L x 7.94"W
2-Part Carbonless forms for accurate record keeping
$10.29 Box
This item ships FREE *
Item # 901-377687
Model # 46140
Adams Sales Orders, 7.19L x 4.19W, 10/Box (DC470510)

Adams Sales Orders, 7.19"L x 4.19"W, 10/Box (DC470510)

Sales and order books are ideal for keeping proper records of orders and sales
Size: 7.19"L x 4.19"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$46.99 Pack
When you buy 3+
or
This item ships FREE *
Item # 901-DC470510
Model # DC470510
Adams 2-Part Carbonless Receipts Book, 2.75L x 4.88W, 50 Forms/Book, Each (DC2501)

Adams 2-Part Carbonless Receipts Book, 2.75"L x 4.88"W, 50 Forms/Book, Each (DC2501)

Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75""L x 5.38W; detached 2.75"L x 4.88"W
2-Part Carbonless forms for accurate record keeping
$3.49 Each
When you buy 6+
or
This item ships FREE *
Item # 901-DC2501
Model # DC2501
Medical Arts Press® Solid Color Laser Statements; Style A, with Credit Card Information, Blue

Medical Arts Press® Solid Color Laser Statements; Style A, with Credit Card Information, Blue

Light Blue Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3.68 From top Of Sheet
$30.99 Pack
When you buy 10+
or
This item ships FREE *
Item # 901-30471D
Model # SEECOMMENT
Lifetime Warranty
Adams Sales Orders Book, 8.44L x 5.56W, 50 Sets/Book, 10 Books/Box (TC5805-10)

Adams Sales Orders Book, 8.44"L x 5.56"W, 50 Sets/Book, 10 Books/Box (TC5805-10)

Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 8.44"L x 5.56"W; detached: 7.94"L x 5.56"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$69.99 Pack
When you buy 3+
or
This item ships FREE *
Item # 901-TC580510
Model # TC580510
Adams Write N Stick 2-Part Carbonless Receipts Book, 2.75L x 4.75W, 200 Forms/Book, Each (SC1152W

Adams Write 'N Stick 2-Part Carbonless Receipts Book, 2.75"L x 4.75"W, 200 Forms/Book, Each (SC1152WS)

Receipt book is consecutively numbered for easy organization
Business-form size: 2.75"L x 4.75"W
2-Part Carbonless forms for accurate record keeping
$13.29 Each
When you buy 6+
or
This item ships FREE *
Item # 901-SC1152WS
Model # SC1152WS
ComplyRight Dbl-Window Tax Envelopes For W-2 (5216)/1099-R (5175) Tax Forms, Moisture/Gum-Seal, Whit

ComplyRight Dbl-Window Tax Envelopes For W-2 (5216)/1099-R (5175) Tax Forms, Moisture/Gum-Seal, White, 100/Pack (61611100)

Double-window envelope accommodates 4-Up W-2 (5216) and 1099-R (5175) forms
100 envelopes per pack
Dimensions: 5.63" x 9"
$14.29 Each
This item ships FREE *
Item # 901-24431090
Model # 61611100
New
ComplyRight 2021 1099-DIV Copies A, B, C, and/or State Tax Form Set, White/Red/Black, 10/Pack (61071

ComplyRight 2021 1099-DIV Copies A, B, C, and/or State Tax Form Set, White/Red/Black, 10/Pack (610710)

File form 1099-DIV for each person: to whom you have paid dividends (including capital gain dividends and exempt-interest dividends), and other distributions
Consists of four parts: Copies A, B, C and/or State
For laser printers
$9.99 Each
This item ships FREE *
Item # 901-24507967
Model # 610710
Adams® Sales Order Book, Ruled, 2-Part, 4 3/16 x 7 3/16

Adams® Sales Order Book, Ruled, 2-Part, 4 3/16" x 7 3/16"

50 forms
1 form per page
2-part; carbonless; White originals, Canary duplicates
$4.99 Each
This item ships FREE *
Item # 901-196097
Model # DC4705
Adams 3-Part Carbonless Receipts Hardbound Book, 2.75L x 7W, 200 Forms/Hardbound Book (TCH1185)

Adams 3-Part Carbonless Receipts Hardbound Book, 2.75"L x 7"W, 200 Forms/Hardbound Book (TCH1185)

Money receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 7"W
3-Part Carbonless forms for accurate record keeping
$29.99 Each
When you buy 6+
or
This item ships FREE *
Item # 901-TCH1185
Model # TCH1185
ComplyRight 2021 1098 Tax Forms, Laser, Pack of 25 (515025)

ComplyRight 2021 1098 Tax Forms, Laser, Pack of 25 (515025)

Report mortgage interest, donations on vehicles, interest paid on student loans, and detail tuition fees with Form 1098
Laser-cut sheet
25 sheets per pack
$6.99 Each
This item ships FREE *
Item # 901-24431091
Model # 515025
Adams 2021 1099-INT Tax Form, White, 12/Pack (STAX521NT)

Adams 2021 1099-INT Tax Form, White, 12/Pack (STAX521NT)

Use the 1099-INT form to report interest income to the Internal Revenue Service and your recipients
For paper filers, the 2021 1099-INT (copy B) is due to your recipients by January 31, 2022; mail copy A and 1096 to the IRS by February 28, 2022; or e-file by March 31, 2022
Five-part 1099-INT forms print two to a page on six microperforated sheets with copies A, C, B, 2, and State/C