Page 7 of hcfa cms 1500 health insurance business forms
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ComplyRight 2025 1099-DIV Tax Form, 1-Part, 2-Up, Payer Copy C, 50/Pack (513250)
Item #: 901-24507965
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. ...
Payer Copy C and/or State, 2-Up
ComplyRight 2025 1099 Blank Tax Form, 1-Part, 3-Up, White, 500 (5508B)
Item #: 901-24650563
1099 Blank Tax Form
3-Up with Screened Back
Pack of 500
ComplyRight 2025 W-2 Tax Form, 1-Part, 2-Up, Employer Copy D, 50/Pack (520450)
Item #: 901-24507909
W-2 form provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part, 2-up: Employer Copy D and/or State, City, or Local Copy 2
For laser printers
ComplyRight 2025 1099-NEC Tax Form, 3-Up, 500/Pack (NEC5501B)
Item #: 901-24650576
Copy B, 2 with Backer
Z-Fold, 11"
Pack of 500 Forms
ComplyRight 2025 W-2 Tax Form, 3-Up, 500/Pack (5210B)
Item #: 901-24650555
Employee’s Copies B, C & 2 Combined
3-Up (W-Style)
Pack of 500 Forms
ComplyRight 2025 1099-DA Recipient Tax Form, Copy B, 50/Pack (542150)
Item #: 901-24671910
1 Sheet Equals 1 Form
8-1/2" x 11" laser form
Pack of 50
ComplyRight 2025 1099-DA State and/or File Copy Tax Form, 50/Pack (542250)
Item #: 901-24671911
1 Sheet Equals 1 Form
8-1/2" x 11" laser form
Pack of 50
ComplyRight 2025 Pressure-Seal W-2 Tax Form, 1-Part, 4-Up, Copy B and C, 500/Pack (5225B)
Item #: 901-24650559
W-2 Pressure-Seal Tax Form, Copy B and C, 4-Up (Box), with Printed Backer
EZ-Fold Simplex, 14"
Pack of 500 Forms
ComplyRight 2025 Pressure-Seal W-2 Tax Form, 1-Part, 4-Up, 500/Pack (5511B)
Item #: 901-24650564
W-2 Pressure-Seal Tax Form, Employee's Copies B,C,2,2
EZ-Fold Duplex, 14"
Pack of 500 Forms
ComplyRight 2025 1095-B Tax Form, 1-Part, White/Black, 500/Pack (1095B500)
Item #: 901-24507931
1095-B tax form
Single-part
For laser printers
ComplyRight 2025 1099-R Tax Form, 4-Up, 500/Pack (5175B)
Item #: 901-24650550
Recipient Copy B, C, 2, 2
4-Up (Box style)
Pack of 500 Forms
ComplyRight 2025 1099-DA Tax Form, Copy A, 50/Pack (542050)
Item #: 901-24671909
1 Sheet Equals 1 Form
8-1/2" x 11" laser form
Pack of 50
ComplyRight 2025 1099-R Blank Tax Form, Copy B & C, 4-Up, 500/Pack (5179B)
Item #: 901-24650552
Copy B & C
4-Up (Box style)
Pack of 500 Forms
ComplyRight 2025 W-2 Tax Form, 1-Part, 4-Up, Copy B and C, 500/Pack (5228B)
Item #: 901-24650561
W-2 Pressure-Seal Tax Form, Employee Copy B,C,2 or Extra Copy
Eccentric, Z-Fold, 14"
Pack of 500 Forms
ComplyRight 2025 W-2C Tax Form, 1-Part, Copy 1/D, 50/Pack (531550)
Item #: 901-24507905
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 1/D
For laser printers
ComplyRight 2025 Pressure-Seal 1099-R Tax Form, 1-Part, 4-Up, 500/Pack (5177B)
Item #: 901-24650551
Pressure-Seal Tax Form, 4-Up (Box)
V-Fold Duplex, 11"
Pack of 500 Forms
ComplyRight 2025 1094-B Tax Form, 1-Part, White/Black, 50/Pack (1094BT50)
Item #: 901-24507949
1094-B Transmittal Of Health Coverage Information Returns form
Single-part
For laser printers
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 500/Pack (1095CIRS500)
Item #: 901-24507918
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 W-2 Tax Form, 1-Part, 4-Up, 50/Pack (521650)
Item #: 901-24507946
W-2 form provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part 4-up (W-style alternate) sheet
For laser printers
Adams Double Window Tax Form Envelopes, White, 100/Pack (7956E-S)
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"
ComplyRight Double Window Envelope for Tax Form, 5.63" x 9", White/Black, 100/Pack (51511)
Item #: 901-24578186
Simple high-quality double-window envelope for W-2 (5218) tax form that gets the job done
Dimensions: 5.63" x 9"
Comes in white with black text
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.
Adams Gummed Double Window Envelope for Tax Form, 5 5/8" x 9", White, 100/Pack (DW4ALT100)
Item #: 901-99991
Tax Envelopes are easy close, tinted for 100% security and are double-windowed
Use with LW24UPALT tax form
24-lb. white wove stock
Adams Gummed Double Window 1095 B&C Tax Form Envelopes, 5-5/8" x 9", White, 100/Pack (DW1095BC18-S)
Item #: 901-DW1095BC18
Double Window Security Envelopes - 5-5/8" x 9"
For 1095B and 1095C ACA Tax Forms
Top Window - 3-7/16" x 1", Bottom Window - 3-7/16" x 3/4"
