Page 6 of hcfa cms 1500 health insurance business forms
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Adams Double Window Tax Form Envelopes, White, 100/Pack (7956E-S)
Item #: 901-919930
Item #: 901-919930
Double Window Security Envelopes - 5-5/8" x 9"
For 1098, 5498, 1099-MISC, 1099-INT, 1099-DIV, 1099-OID, 1099-R, 1099-B, & 1099-C forms
Top Window - 3-3/8" x 1-3/8", Bottom Window - 3-3/8" x 1-7/16"
Adams Durable Power of Attorney Legal Form Kit 11"L x 8.5"W Each (ABF LF205)
Item #: 901-571453
Item #: 901-571453
Durable Power of Attorney appoints someone to handle your finances if you are absent or incapacitated
White primary page coloring with black ink on the form
One kit contains four sheets
Rediform 3-Part Carbonless Receipts Pad, 7" x 2.7", 100 Forms/Pad (8L808)
Item #: 901-8L808
Item #: 901-8L808
Money receipt book is consecutively numbered for easy organization
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
Rediform Gold Standard 2-Part Carbonless Receipts Book, 7"L x 2.75"W, 300 Forms/Book (8L810)
Item #: 901-8L810
Item #: 901-8L810
Money receipt book is consecutively numbered for easy organization
Business form size: 7"L x 2.75"W
2-Part Carbonless forms for accurate record keeping
Custom Work Orders, Job, Carbon, Small Format 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D2583
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
TOPS Tax Form Envelopes, 5 5/8 x 9, White, 100/Pack (7985E100)
Item #: 901-66661
Item #: 901-66661
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 Laser W-2s & W-2s for U.S. Territories forms
24-lb. white wove stock
Medical Arts Press Anesthesia Record, 125/Pack (13877)
Item #: 901-13877M
Item #: 901-13877M
Record all drugs administered to patient
Maintain record of significant events
Form size: 8-1/2" x 11"
Quill Brand® Message Book, 11" x 5-1/2", White, 400 Forms/Book (745400)
Item #: 901-745400
Item #: 901-745400
Phone message books simplify call and message tracking in the office
Size: 11" x 5-1/2"
400 messages per book
Adams Write 'N Stick 2-Part Carbonless Receipts Book, 2.75" x 4.75", White, 200 Forms/Book (SC1152WS)
Item #: 901-SC1152WS
Item #: 901-SC1152WS
Receipt book is consecutively numbered for easy organization
Business-form size: 2.75"L x 4.75"W
2-Part Carbonless forms for accurate record keeping
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
Item #: 901-24602229
Item #: 901-24602229
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
Rediform Gold Standard 2-Part Carbonless Receipts Book, 5"L x 2.75"W, 225 Forms/Book (8L829)
Item #: 901-8L829
Item #: 901-8L829
Receipt book is consecutively numbered for easy organization
Business form size: 5"L x 2.75"W
2-Part Carbonless forms for accurate record keeping
Adams Quitclaim, Deed, Form and Instructions, 8.5" x 11", 4 Sets/Book (LF298)
Item #: 901-571321
Item #: 901-571321
The quitclaim deed form is simple to use, easy to understand; enables you to file a transfer of ownership on a property
Form size: 11"L x 8.5"W
Form duplicate: carbon; comes in white
Quill Brand® Message Book, 11" x 5-1/2", Blue/White, 200 Forms/Book (745200)
Item #: 901-745200
Item #: 901-745200
Phone message books simplify call and message tracking in the office
Size: 11" x 5-1/2"
200 messages per book
Custom Carbonless 2-Part Forms, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFNL2P1S1R
Design your own forms using your own artwork
8-1/2" W x 11" L
2-part, white/canary, carbonless
Money Receipt Forms, Carbonless, 3 Part, Hard Cover, 2-3/4" x 7", 200 Sets/Book (RED8L818)
Item #: 901-864876
Item #: 901-864876
Duplicates print black
NOTE ON NUMBERED FORMS: Sorry, but we are unable to fill requests for a specific number series
Safety tint on original rubs off if erased
Medical Arts Press® Growth Chart, Boys 2-20 Years
Item #: 901-20226
Item #: 901-20226
Type of form: Growth chart
200 per pack
Size: 8 1/2" x 11"
Medical Arts Press Vet Cage Card, Check Off Boxes for a Variety of Services, 3 x 5", 250/Pack (20397)
Item #: 901-20397
Item #: 901-20397
Also includes space to note dental work needed and vaccinations given
250 per package
Size: 3x5"
Custom Multi-Purpose Register Form, Classic Design, Small Format, 2 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D6092
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Compatible with 4 x 6" portable registers
7 lines enable most orders to fit on a single form
Adams Last Will & Testament, Forms & Instructions (LF235/ALFP117)
Item #: 901-571355
Item #: 901-571355
Last Will & Testament details your assets and the beneficiaries who will receive them
Form size: 11"L x 8.5"W
Comes in white
Adams 3-Part Carbonless Contractors Invoice Forms, 8.5"W x 11.44"L, 100/Pack (ABF NC3822)
Item #: 901-468744
Item #: 901-468744
Business form type: contractor invoice
Form size: 11.44"L x 8.5"W
Features a carbonless 3-part format and comes in white
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11", 18-lb.
Item #: 901-710601
Item #: 901-710601
Business computer paper is excellent for making carbonless copies
Paper dimensions: 14.875"W x 11"L
Paper weight: 18 lbs.
Custom Multi-Purpose Register Form, Classic Design, Large Format, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D6102
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
Custom Multi-Purpose Register Form, Classic Design, Small Format, 3 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D6093
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Compatible with 4 x 6" portable registers
7 lines enable most orders to fit on a single form
Adams Self Seal Security Tinted Double Window W-2 Tax Form Envelope, White, 100/Pack (DW4ALTPS100)
Item #: 901-24496518
Item #: 901-24496518
Simple, high-quality double-window envelope for W-2 tax forms (four-up forms per sheet in four-corner style)
Dimensions: 5 5/8" x 9"
Made of white paper
$60.49
1-5 pack
($0.60/EACH)
Save 5%
$56.99
6+ pack
($0.57/EACH)
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