Page 24 of hcfa cms 1500 health insurance business forms
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ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9.25", 100/Pack (66662100)
Item #: 901-24431088
Double-window envelope accommodates W-2 forms.
Features a self-seal latex flap.
Pack of 100 envelopes.
$111.29
1-4 each
Save 22%
$85.99
5+ each
Custom Bill of Lading, Carbonless, Small Format, 3 Parts, 1 Color Printing, 8 1/2" x 7", 500/Pack
Item #: 901-D50413
Special section to identify hazardous materials
Carbonless forms for clean copies
7 description lines
Custom Cash Receipt Books, Classic Design, 3 To Page, 2 Parts, 1 Color Printing, 6 3/4" x 8 1/2", 500/Pack
Item #: 901-D6932
Simple: An easy way to track payments
Get the details: Receipt form features preprinted areas that document payment, payment method & account balance
Stay organized: Bottom copy stays bound in book for a permanent record
ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 3 7/8" x 8.5", 50/Pack (3333150)
Item #: 901-24507948
Double-window envelope for W-2 (5210/5211) tax form.
Features a moisture/gum-seal flap.
Pack of 50 envelopes.
$44.59
Per each
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9.25", 25/Pack (6666225)
Item #: 901-24507914
Double-window envelope for 2-Up W-2 tax form.
Self-sealing for added convenience.
Pack of 25 envelopes.
$39.29
Per each
ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9", 100/Pack (99991100)
Item #: 901-24431087
Double-window envelope accommodates W-2 forms 5205, 5205A, and 5209.
Features a moisture/gum-seal flap.
Pack of 100 envelopes.
$67.89
Per each
ComplyRight Moistenable Glue Security Tinted Tax Envelope, White, 100/Pack (61611100)
Item #: 901-24431090
Double-window envelope accommodates 4-Up 1099-R (5175) forms.
Features a moisture/gum-seal flap.
Pack of 100 envelopes.
$45.69
Per each
Custom Small Lined Invoices, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D108T3
Get the details: Includes 13 description lines on this lined form to record the invoice details
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
ComplyRight Self Seal 1099-R Tax Double-Window Envelope, 5.63" x 9", White, 100/Pack (DW4MWS)
Item #: 901-24578233
Double-window envelope for the 4-up 1099-R tax form
Dimensions: 5.63" x 9"
Comes in white
$36.09
Per each
Adams Carbon Rental Applications, 8.5" x 11", (LF255)
Item #: 901-571368
The easy-to-use, month-to-month rental agreement form allows you to lease residential property on a monthly basis, specifying all terms and conditions from security deposits to late charges
Form size: 11"L x 8.5"W
Form duplicate: carbon; comes in white
$12.69
Per each
Custom Purchase Orders, Classic Design, Large Format,3 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D923
Large-format form lists up to 20 procurement items with plenty of space for terms, requisition numbers, stock & shipping information, plus much more
Signature line prevents unauthorized purchases
Create clean records: Carbonless forms stay tightly aligned for clear, clean copies
ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9", 50/Pack (4444150)
Item #: 901-24507912
Double-window envelope for W-2 (5206/5208) tax form.
Features a moisture/gum-seal flap.
Pack of 50 envelopes.
$30.99
Per each
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9", 50/Pack (444250)
Item #: 901-24507915
Double-window envelope for W-2 (5206/5208) tax form.
Self-sealing for added convenience.
Pack of 50 envelopes.
$54.19
Per pack
One-Write Posting Tray
Item #: 901-100004
The best choice for basic general expense check writing
Lightweight aluminum tray provides convenient access to One-Write ledgers
Size: 11x11", 2" capacity
$124.19
Per each
TOPS Credit Card Sales 3-Part Carbonless Receipts, 3.25"L x 7.88"W, 100 Sets/Book, 5/Carton (38538CT)
Item #: 901-810999CT
Triplicate Credit Card Sales Slips are made with carbonless paper to protect your customers; no carbon tissues containing credit card information to worry about
Size: 3.25"L x 7.88"W
Features a carbonless 3-part format and comes in white
$116.79
1-2 carton
Save 8%
$106.99
3+ carton
Adams 2-Part Carbonless Invoices, 8-1/2" x 7-7/16", 50 Sets/Book (NC2872-50)
Item #: 901-442798
2-part carbonless with a white, canary paper sequence
Ruled format
Space at top for company stamp
$33.99
Per pack
TOPS™ Gift Certificate Book, 1-Part, 25/Book (GFTBK1)
Item #: 901-448269
Gift Certificate book to personalize your gift
Dimensions: 0.13"H x 3.25"W x 11"L, 7.81" x 3.25" (detached form), 11" x 3.25" (sheet)
Color: Cream (primary page), maroon (ink)
$9.49
Per each
Alliance 1-Part Carbonless Guest Checks, 3.4" x 6.73", 50 Sets/Book, 2/Carton (367401)
Item #: 901-2398426
Green
3.4" x 6.73"
50 books of 50 per carton
$143.39
1-2 carton
Save 8%
$130.99
3+ carton
Delforms® One-Write General Expense Check Refills; 250 per Pack, without Duplicates
Item #: 901-111011
No messy carbon paper
Eliminates copy errors and saves time
Security features include erasure protection; micro-print signature line; chemical-sensitive paper; padlock icon and warning; security screen and warning box
Adams Carbonless Rental Applications, 8.5" x 11", 4 Sets/Book (LF310)
Item #: 901-571323
Specify the rights and obligations of both landlord and tenant
Includes four sets of forms, instructions and Lead Paint Disclosure CD-ROM
Use to lease residential rental property to a tenant and outline the terms and conditions for payment
$11.59
Per each
Custom 4-in-1 Repair Tags w/ Claim Check & Carbons, 1 Color Printing, 3 1/8" x 9", 1000/Pack
Item #: 901-3002DQ
Detachable claim ticket
Tags are pre-strung with 8" string
Tags are pre-numbered
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9", 50/Pack (9999250)
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 7%
$45.99
8+ each
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
Item #: 901-398024
Describes how medical information about patients may be used and disclosed
Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and do's and don'ts
Size: 8 1/2" x 11"
$35.39
Per pack
Adams Gummed W-2 Double Window Envelope, 3 7/8" x 8 1/4", White, 100/Pack (DW3ALT100)
Item #: 901-33331Q
W-2 Double Window Tax Envelopes are easy close, tinted for 100% security and are double-windowed to display both employer/payer and employee/recipient addresses
Use with LW23UPALT tax forms
24-lb. white wove stock
$72.19
1-5 pack
($0.72/EACH)
Save 7%
$66.99
6+ pack
($0.67/EACH)