Page 6 of hcfa cms 1500 health insurance business forms
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ComplyRight 2025 1099-DIV Tax Form, 1-Part, 2-Up, Recipient Copy B, 50/Pack (513150)
Item #: 901-24507951
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. ...
Recipient Copy B, 2-Up
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 50/Pack (1095CIRS50)
Item #: 901-24507913
Form 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for employees
Consists of two parts
For laser printers
ComplyRight 2025 1099-MISC Tax Form, 3-Part, 2-Up, 50/Pack (6102E)
Item #: 901-24650569
3-Part Set: Copy A, B, State/File (25 sheets each), transmittals (3) and Self-Seal Envelopes (50)
2-Up: 2 Forms per Sheet
For 50 Employees
Adams CMS-1500 1 Part Health Insurance Claims, 100/Pack (ABF CMS1500L1V)
Item #: 901-486075
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 100 forms per package
ComplyRight 2025 1095-B Tax Form, 1-Part, 2-Up, 500/Pack (1095BCBLK500)
Item #: 901-24578207
File the blank Form 1095-B and Form 1095-C with pressure seals and backer instructions according to the IRS guidelines
2-up format: one sheet equals two forms
500 tax forms per pack
ComplyRight 2025 1099-K Tax Form, 1-Part, 2-Up, 50/Pack (532625)
Item #: 901-24650547
Use the Form 1099-K for payments made in settlement of reportable payment transactions for each calendar year
2-Up: 2 Forms per Sheet
Pack of 50 forms
ComplyRight 2025 W-2C Tax Form, 1-Part, Copy 2/C, 50/Pack (531650)
Item #: 901-24507902
W-2C tax form is used to correct errors on forms W-2, W-2AS, W-2CM, W-2GU, W-2VI, or W-2c filed with the SSA
Single-part: Copy 2/C
For laser printers
ComplyRight 2025 1099-INT Tax Form, 1-Part, 2-Up, Copy B, 50/Pack (512150)
Item #: 901-24507970
File form 1099-INT, interest income, for each person: to whom you paid amounts of at least $10 (or at least $600 of interest paid in the course of your trade or business)
Recipient Copy B, 2-Up
1 Page Equals 2 Forms
ComplyRight 2025 W-2C Tax Form, 1-Part, Employee Copy B, 50/Pack (531450)
Item #: 901-24507952
W-2C tax form is used to correct errors on forms W-2, W-2AS, W-2CM, W-2GU, W-2VI, or W-2c filed with the SSA
Single-part: Employee Copy B
For laser printers
ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Payer Copy D, 50/Pack (514350)
Item #: 901-24507924
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
Payer Copy D and/or State, City, or Local, 2-Up
1 Page Equals 2 Forms
ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Recipient Copy C, 50/Pack (514250)
Item #: 901-24507928
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, annuities, pensions, etc.
Recipient Copy C and/or State, City or, Local or Copy 2, 2-Up
1 Page Equals 2 Forms
ComplyRight 2025 1099-INT Tax Form, 1-Part, 2-Up, Copy C, 50/Pack (512250)
Item #: 901-24507942
File form 1099-INT, interest income, for each person: to whom you paid amounts of at least $10 (or at least $600 of interest paid in the course of your trade or business)
Payer Copy C and/or State, 2-Up
1 Page Equals 2 Forms
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 25/Pack (1095CIRSC25)
Item #: 901-24507963
1095-C continuation form is used to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees
Consists of two parts
For laser printers
ComplyRight Performance Appraisal, 50 Forms/Pack (A2192)
Item #: 901-2548974
Helps you communicate your expectations clearly and provides employees with a tangible way to gauge their progress
Creates a consistent, timesaving review process
Attorney-developed to ensure 100% compliance
ComplyRight 2025 W-2 Tax Form, 1-Part, 4-Up, 500/Pack (5209B)
Item #: 901-24461397
W-2 employee four-up box blank with backer cut sheet
Single-part four-up box blank
For laser printers
ComplyRight 2025 W-2 Tax Form, 1-Part, 4-Up, Copy B, C, 2, 500/Pack (5205B)
Item #: 901-24461400
W-2 employee four-up box copy B, C, 2, and extra copy cut sheet
Single-part four-up box sheet
For laser printers
ComplyRight 2025 1099-NEC Tax Form, 3-Up, 1500/Pack (NEC5108B)
Item #: 901-24650570
Copy B with Backer
3-Up: 3 Forms per Sheet
Pack of 1,500 forms
ComplyRight 2025 Pressure-Seal W-2 Tax Form, 1-Part, 4-Up, 500/Pack (5224B)
Item #: 901-24650558
W-2 Pressure-Seal Tax Form, Employee’s Copy B, C, 2 Or Extra Copy
EZ-Fold Simplex , 14"
Pack of 500 Forms
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, White, 50/Pack (3333250)
Item #: 901-24507957
Double-window envelope for W-2 (5210/5211) tax form.
Self-sealing for added convenience.
Pack of 50 envelopes.
ComplyRight 2025 W-2 Tax Form, Employee’s Copies B, C, 2 & 2 Combined, 4-Up, 500/Pack (5206B)
Item #: 901-24650553
Employee’s Copies B, C, 2 & 2 Combined
4-Up (Horizontal)
Pack of 500 forms
ComplyRight 2025 W-2 Tax Form Envelopes/Recipient Copy Only, 5-Part, 2-Up, Copy B, C/2, D/1, 50/Pack (5648E)
Item #: 901-24578229
Recipient-only tax forms with envelope are 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 five parts
2-up format: one sheet equals two forms
ComplyRight 2025 W-2C Tax Form, 1-Part, Federal Copy A, 50/Pack (531350)
Item #: 901-24507921
W-2c tax form is used to correct errors on forms W-2, W-2AS, W-2CM, W-2GU, W-2VI, or W-2c filed with the SSA
Single-part: Federal Copy A
For laser printers
ComplyRight 2025 1095-B Tax Form, 1-Part, White/Black, 50/Pack (1095B50)
Item #: 901-24507929
1095-B tax form used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage
Consists of two parts
For laser printers
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 50/Pack (1095C50)
Item #: 901-24507939
Form 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for employees
Consists of two parts
For laser printers
