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Page 2 of hcfa cms 1500 health insurance business forms

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Quill Brand® 9.5 x 11 4 Part Form Paper, 15 lbs., 92 Brightness, 850 Sheets/Carton (710754)
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Quill Brand® 9.5" x 11" 4 Part Form Paper, 15 lbs., 92 Brightness, 850 Sheets/Carton (710754)
Item #: 901-710754
(3)
Item #: 901-710754
4-part form paper produces letter-size originals and three copies fast and fuss-free
Paper weight: 15 lb. white top sheet, 15 lb. bottom sheets
8-1/2x11" without carrier strips (9-1/2x11" with 1/2" standard perforated carrier strips)
$258.09
Per carton
Add to cart
Earn 258 points
Free delivery
Quill Brand® 9.5 x 11 Continuous Form Paper, 18 lbs., 92 Brightness 2550 Sheets/Carton (710608)
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Quill Brand® 9.5" x 11" Continuous Form Paper, 18 lbs., 92 Brightness 2550 Sheets/Carton (710608)
Item #: 901-710608
(2)
Item #: 901-710608
Continuous form bond paper
Paper weight: 18 lbs.
Size: 9-1/2x11" (8-1/2" width with carrier strips removed)
$94.59
Per carton
Add to cart
Earn 94 points
Free delivery
Quill Brand® 9.5 x 11 Continuous Form Paper, 20 lbs., 92 Brightness 2550 Sheets/Carton (710657)
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Quill Brand® 9.5" x 11" Continuous Form Paper, 20 lbs., 92 Brightness 2550 Sheets/Carton (710657)
Item #: 901-710657
(2)
Item #: 901-710657
Continuous form bond paper
Paper weight: 20 lbs.
Size: 9-1/2x11" (8-1/2" width with carrier strips removed)
$122.39
Per carton
Add to cart
Earn 122 points
Free delivery
Clearance
Quill Brand® 14-7/8 x 11 Continuous Form 1/2 Blue Bar Paper, 20 lbs., 2700 Sheets/Carton (QU710604)
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Quill Brand® 14-7/8 "x 11" Continuous Form 1/2" Blue Bar Paper, 20 lbs., 2700 Sheets/Carton (QU710604)
Item #: 901-710604
(1)
Item #: 901-710604
1/2" blue bar Bond paper for continuous form printing
Paper weight: 20 lbs.
Size 14-7/8x11"
$196.39 Save 29%
$139.99
Per carton
($0.05/EACH)
Add to cart
Earn 139 points
Free delivery
Quill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2, 3200 Sheets/CartonQuill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2, 3200 Sheets/Carton
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Quill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2", 3200 Sheets/Carton
Item #: 901-710833
(3)
Item #: 901-710833
Business paper is perfect for printing receipts that require two copies
Paper dimensions: 5.5"W x 9.5"L
Paper weight: 15 lbs.
$127.99
Per carton
Add to cart
Earn 127 points
Free delivery
Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns
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Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns, 50 Sheets/Pad, 10 Pads/Pack (95141)
Item #: 901-745804
(15)
Item #: 901-745804
20-lb. ledger green paper
50 numbered lines, every fifth horizontal line heavily ruled as line guide
10,000,000 units per column
$84.99
1-3 pack
($8.50/EACH)
Save 19%
$68.99
4+ pack
($6.90/EACH)
Add to cart
Earn 84 points
Free delivery
Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)
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Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)
Item #: 901-217745
(1)
Item #: 901-217745
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with four columns per page, quad-ruled
$25.99
Per each
Add to cart
Earn 25 points
Free delivery
Columnar Book, 6 Columns, 7.25 x 9.5, Blue Granite, 40 Sheets/Book (217752)Columnar Book, 6 Columns, 7.25 x 9.5, Blue Granite, 40 Sheets/Book (217752)
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Columnar Book, 6 Columns, 7.25" x 9.5", Blue Granite, 40 Sheets/Book (217752)
Item #: 901-217752
(1)
Item #: 901-217752
7 1/4" x 9 1/2"
80 pages per book
Quad ruled
$19.99
Per each
Add to cart
Earn 19 points
Free delivery w/ $25+
Staples Ledger Binder, 200 Pages, Blue Marble (26520)
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Staples Ledger Binder, 200 Pages, Blue Marble (26520)
Item #: 901-296509
(63)
Item #: 901-296509
Ledger binder is an excellent choice for storing your important documents
Blue marbled cover and white bond paper
Includes 200 pages printed on front and back with green lines
$49.99
Per each
Add to cart
Earn 49 points
Free delivery
Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)
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Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)
Item #: 901-217976
(172)
Item #: 901-217976
Columnar book for record keeping
Gray marble and made of paper
Includes 80 single-format pages, comes with 12 columns per page, quad-ruled
$17.99
1-2 each
Save 6%
$16.99
3+ each
Add to cart
Earn 17 points
Free delivery w/ $25+
Medical Arts Press Dental Registration Forms, 250/Pack (20558)Medical Arts Press Dental Registration Forms, 250/Pack (20558)
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Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 901-20558NP
(3)
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
$60.99
Per pack
($0.24/EACH)
Add to cart
Earn 60 points
Free delivery
ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 25/Pack (510025)ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 25/Pack (510025)
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ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 25/Pack (510025)
Item #: 901-24507927
(3)
Item #: 901-24507927
Use form 1096 to submit the totals from information returns to the Internal Revenue Service.
Transmittal Form
1 Page Equals 1 Form
$24.99
1-4 each
Save 12%
$21.99
5+ each
Add to cart
Earn 24 points
Free delivery w/ $25+
Quill Brand® Message Book, 11 x 5-1/2, White, 400 Forms/Book (745400)
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Quill Brand® Message Book, 11" x 5-1/2", White, 400 Forms/Book (745400)
Item #: 901-745400
(53)
Item #: 901-745400
Phone message books simplify call and message tracking in the office
Size: 11" x 5-1/2"
400 messages per book
$13.99
Per each
Add to cart
Earn 13 points
Free 1-2 day delivery w/ $25+
Medical Arts Press Registration Forms without Updates Section ; Brush SilhouetteMedical Arts Press Registration Forms without Updates Section ; Brush Silhouette
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Medical Arts Press Registration Forms without Updates Section ; Brush Silhouette
Item #: 901-21786
(1)
Item #: 901-21786
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Silhouetted toothbrush design welcomes patients
Printed in 1-color on two sides on 24-lb. white bond paper
$56.99
Per pack
($0.23/EACH)
Add to cart
Earn 56 points
Free delivery
Quill Brand® 20-lb. Bond Continuous Form Paper, 9-1/2x11, 1000/Ctn.
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Quill Brand® 20-lb. Bond Continuous Form Paper, 9-1/2x11", 1000/Ctn.
Item #: 901-710761
(5)
Item #: 901-710761
Reliable business paper is perfect for business use
Paper dimensions: 9.5"W x 11"L
Paper weight: 20 lbs.
$48.99
Per carton
($0.05/EACH)
Add to cart
Earn 48 points
Free delivery
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 20-lb., 2700 Sheets/Carton (177113)Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 20-lb., 2700 Sheets/Carton (177113)
Quick view
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11", 20-lb., 2700 Sheets/Carton (177113)
Item #: 901-710603
(3)
Item #: 901-710603
Reliable business paper is perfect for professional use
Paper dimensions: 11"W x 14.88"L
Paper weight: 20 lbs.
$137.99
Per carton
($0.05/EACH)
Add to cart
Earn 137 points
Free delivery
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 18-lb., 2800 Sheets/Carton (ST489122/177172)Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 18-lb., 2800 Sheets/Carton (ST489122/177172)
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Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11", 18-lb., 2800 Sheets/Carton (ST489122/177172)
Item #: 901-710601
(8)
Item #: 901-710601
Business computer paper is excellent for making carbonless copies
Paper dimensions: 14.875"W x 11"L
Paper weight: 18 lbs.
$128.99
Per carton
Add to cart
Earn 128 points
Free delivery
ComplyRight 2025 1099-MISC Tax Form, 4-Part, 2-Up, Copy A, B, C/2, 1096 Transmittal, 25/Pack (610325)
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ComplyRight 2025 1099-MISC Tax Form, 4-Part, 2-Up, Copy A, B, C/2, 1096 Transmittal, 25/Pack (610325)
Item #: 901-24578190
(5)
Item #: 901-24578190
1099-MISC tax form set to report payments made in the course of your business for each person to whom you paid at least 10 dollars in royalties, or at least 600 dollars in rents
Consists of four parts
2-up page format: two forms on a single sheet
$24.39
Per each
Add to cart
Earn 24 points
Free delivery w/ $25+
ComplyRight Employee Warning Notice Forms, 50/Pack (AR0395)
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ComplyRight Employee Warning Notice Forms, 50/Pack (AR0395)
Item #: 901-712137
Item #: 901-712137
Plus, this handy form includes space for employee and supervisor signatures.
50 Pack
Size: 81/2” x 11”
$56.99
Per pack
Add to cart
Earn 56 points
Free delivery
Medical Arts Press® Standard Preprinted Chart Divider Tabs, Consent Forms, Light Green
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Medical Arts Press® Standard Preprinted Chart Divider Tabs, Consent Forms, Light Green
Item #: 901-30580
(1)
Item #: 901-30580
Light green tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
$9.49
Per pack
($0.09/EACH)
Add to cart
Earn 9 points
Free delivery w/ $25+
Out of stock
TaxRight 2025 W-2 Tax Form Tax Form Set with Envelopes, 4-Part, 50/Pack (SC5645E)TaxRight 2025 W-2 Tax Form Tax Form Set with Envelopes, 4-Part, 50/Pack (SC5645E)
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TaxRight 2025 W-2 Tax Form Tax Form Set with Envelopes, 4-Part, 50/Pack (SC5645E)
Item #: 901-24420226
(2)
Item #: 901-24420226
W-2 (4-Part) tax form set with envelopes.
Includes (3) W-3 transmittal forms.
Features ComplyRight tips for optimal, compliant use - Covers minimum requirements, penalties, common errors and employer do's and don'ts.
$46.49
Per each
Notify me
Earn 46 points
Out of stock
ComplyRight 2025 W-2 Tax Form Tax Form Set with Envelopes, 8-Part, 2-Up, 50/Pack (95218E)
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ComplyRight 2025 W-2 Tax Form Tax Form Set with Envelopes, 8-Part, 2-Up, 50/Pack (95218E)
Item #: 901-24431094
(4)
Item #: 901-24431094
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
For laser printers
$99.89
1-2 each
Save 24%
$75.99
3+ each
Notify me
Earn 99 points
Out of stock
ComplyRight 2025 W-2 Blank Tax Form, 4-Up (Horizontal), with Backer Instructions, Pack of 500 FormsComplyRight 2025 W-2 Blank Tax Form, 4-Up (Horizontal), with Backer Instructions, Pack of 500 Forms
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ComplyRight 2025 W-2 Blank Tax Form, 4-Up (Horizontal), with Backer Instructions, Pack of 500 Forms
Item #: 901-24650554
Item #: 901-24650554
Form W-2 provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part, blank tax form
For laser printers
$104.99
Per each
Notify me
Earn 104 points
Out of stock
ComplyRight 2025 W-2 Blank Tax Form, 4-Up, Horizontal with Backer Instructions, Pack of 50 FormsComplyRight 2025 W-2 Blank Tax Form, 4-Up, Horizontal with Backer Instructions, Pack of 50 Forms
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ComplyRight 2025 W-2 Blank Tax Form, 4-Up, Horizontal with Backer Instructions, Pack of 50 Forms
Item #: 901-24650542
Item #: 901-24650542
Form W-2 provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part, blank tax form
For laser printers
$18.09
Per each
Notify me
Earn 18 points
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Upgrade to Rewards+
$49.99/year
Member benefits
$41.99 Quill 10-Ream Copy Paper
Up to 4 cartons per month
10% in QUILLCASH Rewards on ink & toner
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$15 off monthly coupon
Always free shipping
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Earn 10% more points + more time to use
5% off everday prices
10% off discount on in-house brands
Member exclusive rewards
Site-wide price match guarantee
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Disclaimer
Offers and discounts exclude HP,Samsung and Epson. We offer a worry-free enrollment guarantee - if you are not satisfied with your Rewards+ membership, you can cancel at any time for a prorated refund. By enrolling into the Reward+ program, you are agreeing to the Terms and Conditions.
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