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Page 13 of hcfa cms 1500 health insurance business forms

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Adams 2-Part Carbonless Work Orders, 8.375 x 10.4375, 50 Sets/Book (DC8100)Adams 2-Part Carbonless Work Orders, 8.375 x 10.4375, 50 Sets/Book (DC8100)
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Adams 2-Part Carbonless Work Orders, 8.375" x 10.4375", 50 Sets/Book (DC8100)
Item #: 901-196139
(64)
Item #: 901-196139
Carbonless sales order form book for two-part forms and copies without smudging
White and canary in color and smooth finish paper
One 50-set book per pack
$20.99
1-4 each
Save 5%
$19.99
5+ each
Add to cart
Earn 20 points
Free delivery w/ $25+
Adams 3-Part Carbonless Bill of Lading, 8.5L x 7.44W, 250 Sets/Book (B3876)Adams 3-Part Carbonless Bill of Lading, 8.5L x 7.44W, 250 Sets/Book (B3876)
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Adams 3-Part Carbonless Bill of Lading, 8.5"L x 7.44"W, 250 Sets/Book (B3876)
Item #: 901-196253
(48)
Item #: 901-196253
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Business form size: 8.5"L x 7.44"W; detached form size: 8.5"L x 6.94"W
3-Part Carbonless forms for accurate record keeping
$45.99
1-3 pack
Save 4%
$43.99
4+ pack
Add to cart
Earn 45 points
Free delivery
ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, White, 50/Pack (7777150)ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, White, 50/Pack (7777150)
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ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, White, 50/Pack (7777150)
Item #: 901-24507932
(3)
Item #: 901-24507932
Double-window envelope for 2-Up 1099 tax form.
Features a moisture/gum-seal flap.
Pack of 50 envelopes.
$43.59
Per each
Add to cart
Earn 43 points
Free delivery
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8 x 9, 50/Pack (9999250)ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8 x 9, 50/Pack (9999250)
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ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9", 50/Pack (9999250)
Item #: 901-24507968
Item #: 901-24507968
Double-window envelopes for 4-Up W-2 (5205/5205A/5209) tax form.
Self-sealing for added convenience.
Pack of 50 envelopes.
$49.89
1-7 each
Save 8%
$45.99
8+ each
Add to cart
Earn 49 points
Free delivery
DBS Brady® Re-Form™ 14 1/4(W) x 150(L) Plus Heavy Weight Roll Absorbent Pad, 27 galDBS Brady® Re-Form™ 14 1/4(W) x 150(L) Plus Heavy Weight Roll Absorbent Pad, 27 gal
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DBS Brady® Re-Form™ 14 1/4"(W) x 150'(L) Plus Heavy Weight Roll Absorbent Pad, 27 gal
Item #: 901-196281ORS
Item #: 901-196281ORS
Capacity volume: 27 gal
Dimensions: 14 1/4"(W) x 150'(L)
For drips, spills, and wiping applications
$100.99
Per each
Add to cart
Earn 100 points
Free delivery
ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 5 5/8 x 9, 50/Pack (4444150)ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 5 5/8 x 9, 50/Pack (4444150)
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ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9", 50/Pack (4444150)
Item #: 901-24507912
Item #: 901-24507912
Double-window envelope for W-2 (5206/5208) tax form.
Features a moisture/gum-seal flap.
Pack of 50 envelopes.
$42.99
Per each
Add to cart
Earn 42 points
Free delivery
TOPS Professional Notebooks, 8.5 x 11, Wide Ruled, 100 Sheets, White (4100)
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TOPS Professional Notebooks, 8.5" x 11", Wide Ruled, 100 Sheets, White (4100)
Item #: 901-459355
(5)
Item #: 901-459355
50 pages
200 forms, 4 forms per page
Actual book size is 8-1/4" x 11". The detached form size is 5-1/2" x 3-7/8".
$26.99
Per box
Add to cart
Earn 26 points
Free delivery
TOPS™ Carbonless Invoice Book, 2-Part, 50 Sheets/Book (D8740)TOPS™ Carbonless Invoice Book, 2-Part, 50 Sheets/Book (D8740)
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TOPS™ Carbonless Invoice Book, 2-Part, 50 Sheets/Book (D8740)
Item #: 901-356105
(63)
Item #: 901-356105
Carbonless Invoice book is perfect for the office or on the go
Dimensions: 0.38"H x 7.19"W x 8.38"L, 8.38" x 6.69" (detached form), 8.38" x 7.19" (sheet)
Color: White (primary page), canary (duplicate page), blue (ink)
$8.49
1-2 each
Save 6%
$7.99
3+ each
Add to cart
Earn 8 points
Free 1-2 day delivery w/ $25+
Adams 3-Part Carbonless Work Orders, 8.44 x 5.56, 10 Sets/Book, /Box (TC5831-10)
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Adams 3-Part Carbonless Work Orders, 8.44" x 5.56", 10 Sets/Book, /Box (TC5831-10)
Item #: 901-TC583110
(6)
Item #: 901-TC583110
Adams three-part purchase order books are perfect for recording transactions
Each color-coded set includes white, canary and pink forms for accurate record keeping
Each pack contains 10 books; containing 50 three-part sets each for a total of 500
$210.99
Per pack
($21.10/EACH)
Add to cart
Earn 210 points
Free delivery
Custom Work Orders, Job, Carbon, Small Format 2 Parts, 1 Color Printing, 5 1/2 x 8 1/2, 500/Pack
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Custom Work Orders, Job, Carbon, Small Format 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D2582
Item #: 901-D2582
Pricing details
Custom printed business forms, with time-saving features & expert personalization
Extra-large work description area, including 13 lines for detailed write-ups
Signature line for customer authorization prevents disputes
$287.99
1 pack
($0.58/EACH)
Save 57%
$123.99
8 pack
($0.25/EACH)
Customize
Earn 287 points
Free delivery
ComplyRight First Class Peel & Seal Tax Envelope, 9.5 x 12, White/Blue, 50/Pack (PEO41)ComplyRight First Class Peel & Seal Tax Envelope, 9.5 x 12, White/Blue, 50/Pack (PEO41)
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ComplyRight First Class Peel & Seal Tax Envelope, 9.5" x 12", White/Blue, 50/Pack (PEO41)
Item #: 901-24588702
(1)
Item #: 901-24588702
Multipurpose tax return envelope quickly seals and protects data that will dress up every tax return and report from your office
Dimensions: 9.5" x 12"
Made of paper in white with blue accents
$43.99
Per each
Add to cart
Earn 43 points
Free delivery
ComplyRight Self-Seal Tax Envelope, 10 x 13, White/Green, 50/Pack (PEB02)ComplyRight Self-Seal Tax Envelope, 10 x 13, White/Green, 50/Pack (PEB02)
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ComplyRight Self-Seal Tax Envelope, 10" x 13", White/Green, 50/Pack (PEB02)
Item #: 901-24588696
Item #: 901-24588696
Double-window multipurpose tax return envelope will dress up every tax return and report from your office
Dimensions: 10" x 13"
Made of paper in white with green accents
$59.99
Per each
Add to cart
Earn 59 points
Free delivery
Adams 3-Part Carbonless Bill of Lading, 8-1/2 x 7-7/16, 50 Sets/Book (9013)Adams 3-Part Carbonless Bill of Lading, 8-1/2 x 7-7/16, 50 Sets/Book (9013)
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Adams 3-Part Carbonless Bill of Lading, 8-1/2" x 7-7/16", 50 Sets/Book (9013)
Item #: 901-195941
(27)
Item #: 901-195941
Bill of Lading forms are carbonless snap sets
Three-part carbonless (all parts are white)
50 sets/pack
$25.99
Per pack
Add to cart
Earn 25 points
Free delivery
TOPS® Proposal Book, Ruled, 2-Part, White/Canary, 11 x 8 3/8, 1/Ea
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TOPS® Proposal Book, Ruled, 2-Part, White/Canary, 11" x 8 3/8", 1/Ea
Item #: 901-2667640
(2)
Item #: 901-2667640
11" x 8 3/8"
50 forms
1 form per page
$15.99
Per each
Add to cart
Earn 15 points
Free delivery w/ $25+
Rediform 3-Part Carbonless Receipts, 4-1/4 x 6-3/8, 50 Sets/Book (RED5L528)Rediform 3-Part Carbonless Receipts, 4-1/4 x 6-3/8, 50 Sets/Book (RED5L528)
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Rediform 3-Part Carbonless Receipts, 4-1/4" x 6-3/8", 50 Sets/Book (RED5L528)
Item #: 901-2658698
(1)
Item #: 901-2658698
All forms contain space for important information essential to a business operation
Carbon coating on back of each original transfers to duplicate copies without having to transfer carbon sheets
Detachable
$26.99
Per each
Add to cart
Earn 26 points
Free delivery
TOPS™ Carbonless Job Work Order Book, 3-Part, 33 Sheets/Book (T5868)
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TOPS™ Carbonless Job Work Order Book, 3-Part, 33 Sheets/Book (T5868)
Item #: 901-293639
(29)
Item #: 901-293639
Carbonless Job Work Order book is perfect to note down detail costs in both materials and labor
Dimensions: 0.3"H x 8.44"W x 5.56"L, 5.56" x 7.94" (detached form), 5.56" x 8.44" (sheet)
Color: White (primary page), white (triplicate page), canary (duplicate page), blue (ink)
$9.99
Per each
Add to cart
Earn 9 points
Free delivery w/ $25+
TOPS 3-Part Carbonless Bill of Lading, 8.5L x 7W, 50 Sets/Book (3841)TOPS 3-Part Carbonless Bill of Lading, 8.5L x 7W, 50 Sets/Book (3841)
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TOPS 3-Part Carbonless Bill of Lading, 8.5"L x 7"W, 50 Sets/Book (3841)
Item #: 901-3841
(6)
Item #: 901-3841
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 8.5"L x 7.63"W; detached: 8.5"L x 7"W
3-Part Carbonless forms for accurate record keeping
$30.99
Per pack
($0.62/EACH)
Add to cart
Earn 30 points
Free delivery
ComplyRight Self-Seal Tax Envelope, 11.63 x 9.63, White/Green, 50/Pack (PEV48)ComplyRight Self-Seal Tax Envelope, 11.63 x 9.63, White/Green, 50/Pack (PEV48)
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ComplyRight Self-Seal Tax Envelope, 11.63" x 9.63", White/Green, 50/Pack (PEV48)
Item #: 901-24588701
Item #: 901-24588701
Double-window multipurpose tax return envelope will dress up every tax return and report from your office
Dimensions: 11.63" x 9.63"
Made of paper in white with green accents
$41.99
Per each
Add to cart
Earn 41 points
Free delivery
ComplyRight Self-Seal Tax Envelope, 9.5 x 11.5, White/Green, 50/Pack (PEV22)ComplyRight Self-Seal Tax Envelope, 9.5 x 11.5, White/Green, 50/Pack (PEV22)
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ComplyRight Self-Seal Tax Envelope, 9.5" x 11.5", White/Green, 50/Pack (PEV22)
Item #: 901-24588706
Item #: 901-24588706
Double-window multipurpose tax return envelope will dress up every tax return and report from your office
Dimensions: 9.5" x 11.5"
Made of paper in white with green accents
$38.99
Per each
Add to cart
Earn 38 points
Free delivery
Adams 3-Part Carbonless Work Orders, 5-2/3 x 9, 250 Sets/Book (3-584)
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Adams 3-Part Carbonless Work Orders, 5-2/3" x 9", 250 Sets/Book (3-584)
Item #: 901-442731
(16)
Item #: 901-442731
Works well for most types of service organizations
5-2/3" x 9"
Space at top for company stamp
$45.99
Per pack
Add to cart
Earn 45 points
Free delivery
Adams Job Invoices, 11.44L x 8.5W, 50 Sets/Pack (NC3817-50)Adams Job Invoices, 11.44L x 8.5W, 50 Sets/Pack (NC3817-50)
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Adams Job Invoices, 11.44"L x 8.5"W, 50 Sets/Pack (NC3817-50)
Item #: 901-NC381750
(1)
Item #: 901-NC381750
This job-invoice form is designed for service and repair businesses
Form size: 11.44"L x 8.5"W; detached: 10.94"L x 7.88"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$71.39
Per pack
Add to cart
Earn 71 points
Free delivery
ComplyRight First Class Moisture Seal Tax Envelope, 9.5 x 12, White/Blue, 50/Pack (PES45)ComplyRight First Class Moisture Seal Tax Envelope, 9.5 x 12, White/Blue, 50/Pack (PES45)
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ComplyRight First Class Moisture Seal Tax Envelope, 9.5" x 12", White/Blue, 50/Pack (PES45)
Item #: 901-24588693
(1)
Item #: 901-24588693
Multipurpose tax return envelope quickly seals and protects data that will dress up every tax return and report from your office
Dimensions: 9.5" x 12"
Made of paper in white with blue accents
$38.99
Per each
Add to cart
Earn 38 points
Free delivery
ComplyRight Moistenable Glue Tax Envelope, 9.5 x 12, White/Blue, 50/Pack (PRK37)ComplyRight Moistenable Glue Tax Envelope, 9.5 x 12, White/Blue, 50/Pack (PRK37)
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ComplyRight Moistenable Glue Tax Envelope, 9.5" x 12", White/Blue, 50/Pack (PRK37)
Item #: 901-24588707
(1)
Item #: 901-24588707
Double-window multipurpose tax return envelope will dress up every tax return and report from your office
Dimensions: 9.5" x 12"
Made of paper in white with blue accents
$38.99
Per each
Add to cart
Earn 38 points
Free delivery
Out of stock
Adams Self Seal Security Tinted Double Window Envelope, 3.75 x 8.5, White, 100/Pack (S1099-3PS)
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Adams Self Seal Security Tinted Double Window Envelope, 3.75" x 8.5", White, 100/Pack (S1099-3PS)
Item #: 901-24496514
(9)
Item #: 901-24496514
Simple, high-quality envelope for 1099-NEC tax forms
Dimensions: 3.75" x 8.5"
Made of white paper
$109.29
1-8 pack
($1.09/EACH)
Save 19%
$88.69
9+ pack
($0.89/EACH)
Notify me
Earn 109 points
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