Page 4 of hcfa cms 1500 health insurance business forms
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Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Item #: 901-20572
Forms ensure reimbursement, improve risk management and document your clinical process
Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness
Also features areas for severity, onset, effect on daily activities, and co
$65.79
1 pack
($0.26/EACH)
Save 6%
$61.99
2+ pack
($0.25/EACH)
ComplyRight 2025 W-2 Blank Tax Form, 4-Up (Horizontal), with Backer Instructions, Pack of 500 Forms
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
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
ComplyRight 2025 1099-NEC Tax Form Envelopes, 4-Part, 3-Up, Copy A, B, C/2, 1096 Transmittal, 100/Pack (NEC6103E100)
Item #: 901-24578201
1099-NEC tax form set is created for companies to report payments made to an individual who performed services in the course of business as a nonemployee
Consists of four parts
3-up page format: three forms on a single sheet
ComplyRight 2025 Blank Tax Form for 1099, 1098, 5498, 3-Up, 1500/Pack (5145B)
Item #: 901-24650549
Blank Tax Form for 1099, 1098, 5498
Horizontal Perforations without Stub
Pack of 1,500 Forms
Adams 2025 W-2 Tax Form, 1-Part, Copy 1/D, 100/Pack (LW2ERQ)
Item #: 901-5204
2025 1-Part W-2 Copy 1 or D Forms for up to 100 employees
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Use Adams Tax Forms Helper to eFile to the IRS/SSA
1-Part W-2 Copy 1/D sheets
Adams 2025 W-2 Tax Form, 1-Part, Copy C, 100/Pack (LW2EEC2)
Item #: 901-5203
2025 1-Part W-2 Copy C or 2 Forms for up to 100 employees
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Use Adams Tax Forms Helper to eFile to the IRS/SSA
1-Part W-2 Copy C/2 sheets
ComplyRight 2025 W-2 Tax Form Envelopes/Recipient Copy Only (No Backer), 1-Part, 4-Up, 50/Pack (5221E)
Item #: 901-24578231
W-2/1099 recipient-only tax form with envelope is designed for organizations that will be required to e-file and therefore will not need Copy A or transmittal forms 1096 or W-3
Tax form page format: 4-up
50 tax forms per pack
Adams Employee's Copies Cut Sheet 2025 W-2 Tax Form, 1-Part, Copy B, C, 2, 100/Pack (LW24UPALT100)
Item #: 901-5205
2025 4 Corner W-2 Forms for 100 employees
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Use Adams Tax Forms Helper to eFile to the IRS/SSA
W-2 forms include Copies B, 2, C, 2 in 4 per sheet format
ComplyRight 2025 1094-C Tax Form, 1-Part, White/Black, 50/Pack (1094CT50)
Item #: 901-24507962
1094-C Transmittal Of Employer-Provided Health Insurance Offer And Coverage Information Returns For Form 1095C.
Pack of 50 forms
Three page form.
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Item #: 901-20743
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
Screens for artificial heart valves, artificial joints, heart
ComplyRight 2025 1099-DIV Tax Form Envelopes, 4-Part, 2-Up, Copies A, B, C and/or State, 10/Pack (610710)
Item #: 901-24507967
File form 1099-DIV for each person: to whom you have paid dividends (including capital gain dividends and exempt-interest dividends) and other distributions on stock of $10 or more; for whom you have withheld and paid any foreign tax on dividends and
other distributions on stock; for whom you have withheld any federal income tax on dividends under the backup withholding rules; or to whom you have paid $600 or more as part of a liquidation. ...
other distributions on stock; for whom you have withheld any federal income tax on dividends under the backup withholding rules; or to whom you have paid $600 or more as part of a liquidation. ...
Consists of four parts: Copies A, B, C and/or State, 2-Up
Adams Employee's Copies Cut Sheet 2025 W-2 Tax Form, 5-Part, 2000/Carton (LW24UPBBULK-S)
Item #: 901-920128
2025 Blank W-2 Forms have Copy B & C instructions printed on the back
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Use Adams Tax Forms Helper to eFile to the IRS/SSA
W-2 forms include Blank Fronts with Copy B & C instructions printed on the back
ComplyRight 2025 1099-MISC Tax Form Envelopes/Recipient Copy Only, 3-Part, 25/Pack (6112E25)
Item #: 901-24578202
Recipient-only tax form with envelope designed for organizations that will be required to e-file, and therefore will not need Copy A or transmittal forms 1096 or W-3
Consists of three parts
25 tax forms with envelopes per pack
Adams 2025 1099-NEC Tax Form, 1-Part, 100/Pack (LNECPAY2)
Item #: 901-LNECPAY2
2025 1-Part 1099-NEC Copy 1 or 2 Forms for 150 recipients
The 2025 1099-NEC must be mailed or eFiled to the IRS and furnished to your recipients by February 2, 2026; As of 2023, IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Use the new Adams Tax Forms Helper to eFile to the
IRS/SSA ...
IRS/SSA ...
ComplyRight 2025 1099-NEC Tax Form Recipient Copy Only, 3-Part, 3-Up, Copy B, C/2, 50/Pack (NEC6113)
Item #: 901-24578203
1099-NEC recipient-only tax form set designed for organizations that will be required to e-file, and therefore will not need Copy A or transmittal forms 1096 or W-3
Includes three-part tax forms
3-Up forms: three forms on a single sheet
ComplyRight 2025 W-2 Tax Form Envelopes/Recipient Copy Only, 1-Part, 4-Up, Copy B, C, 2 and 2 combined, 50/Pack (5205E)
Item #: 901-24578181
W-2 recipient-only tax form with envelope is designed for organizations that will be required to e-file, and therefore will not need Copy A or transmittal forms 1096 or W-3
4-up page format
Includes copies B, C, 2 and 2 combined
ComplyRight 2025 1099-DIV Tax Form, 1-Part, 2-Up, Federal Copy A, 50/Pack (513050)
Item #: 901-24507956
File form 1099-DIV for each person: to whom you have paid dividends (including capital gain dividends and exempt-interest dividends) and other distributions on stock of $10 or more; for whom you have withheld and paid any foreign tax on dividends and
other distributions on stock; for whom you have withheld any federal income tax on dividends under the backup withholding rules; or to whom you have paid $600 or more as part of a liquidation. ...
other distributions on stock; for whom you have withheld any federal income tax on dividends under the backup withholding rules; or to whom you have paid $600 or more as part of a liquidation. ...
Federal Copy A, 2-Up
ComplyRight 2025 1099-NEC Tax Form Self-seal envelopes, 3-Part, 3-Up, Copy A, B, C/2, 1096 Transmittal, 50/Pack (NEC6102E)
Item #: 901-24578218
1099-NEC tax form is created for companies to report payments made to an individual who performed services in the course of business as a nonemployee
Consists of three parts
Tax form page format: 3-Up
ComplyRight 2025 1099-MISC Tax Form, 2-Part, 2-Up, 50/Pack (510850)
Item #: 901-24507910
File the 1099-MISC form for each person in the course of your business to whom you have paid at least $10 in royalties or broker payments in lieu of dividends and various other income payments
2-up form
For laser printers
ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Federal Copy A, 50/Pack (514050)
Item #: 901-24507973
File form 1099-R for each person to whom you have made a distribution of $10 or more from profit-sharing or retirement plans, any individual retirement arrangements (IRAs), annuities, and more
Federal Copy A, 2-Up
1 Page Equals 2 Forms
ComplyRight 2025 1099-NEC Tax Form Envelopes/Recipient Copy Only, 2-Part, 3-Up, Copy B, C/2, 50/Pack (NEC6113E)
Item #: 901-24578213
1099-NEC recipient-only tax form designed for organizations that will be required to e-file and therefore will not need Copy A or transmittal forms 1096 or W-3
Consists of two parts
Tax form page format: 3-Up
Adams Employee's Copies Cut Sheet 2025 Blank W-2 Tax Form, 1-Part, 2-Up, 100/Pack (BLW2Q)
Item #: 901-5207
2025 Blank W-2 Forms for up to 100 employees
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Use Adams Tax Forms Helper to eFile to the IRS/SSA
Blank W-2 forms with blank backers