Page 13 of proposal 8 1 2x11 carbonless triplicate 50 loose form sets
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Sof-Form® Non-sterile Conforming Gauze Bandages; 75" L x 2" W, 96/Pack
Item #: 901-113612MED
Rayon/Polyester Material
Non-sterile
Latex-free
$22.59
Per carton
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-CMS12LC250
Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$44.99
Per box
($0.18/EACH)
ComplyRight 2025 1099-MISC Tax Form Envelopes, 3-Part, 2-Up, Copy A, B, C/2, 1096 Transmittal, 25/Pack (6103E25)
Item #: 901-24578221
1099-MISC tax form is designed to report payments made in the course of your business for each person to whom you paid at least 10 dollars in royalties or at least 600 dollars in rents
Consists of three parts
Tax form page format: 2-Up
$32.89
1-2 each
Save 12%
$28.99
3+ each
ComplyRight 2025 1099-NEC Tax Form 50 self-seal envelopes, 4-Part, 3-Up, Copy A, B, C/2, 1096 Transmittal, 50/Pack (NEC6103E)
Item #: 901-24578200
1099-NEC (nonemployee compensation) is an IRS form created for companies to report payments made to an individual who performed services in the course of business as a nonemployee
Includes four-part tax forms
3-Up forms: three forms on a single sheet
$51.99
Per each
ComplyRight 2025 1099-NEC Tax Form 25 self-seal envelopes, 4-Part, 3-Up, Copy A, B, C/2, 1096 Transmittal, 25/Pack (NEC6103E25)
Item #: 901-24578199
1099-NEC (nonemployee compensation) is an IRS form created for companies to report payments made to an individual who performed services in the course of business as a nonemployee
Includes four-part tax forms
3-Up forms: three forms on a single sheet
$42.89
1-4 each
Save 23%
$32.99
5+ each
DBS Brady® Re-Form™ 14 1/4"(W) x 150'(L) Plus Heavy Weight Roll Absorbent Pad, 27 gal
Item #: 901-196281ORS
Capacity volume: 27 gal
Dimensions: 14 1/4"(W) x 150'(L)
For drips, spills, and wiping applications
$120.99
Per each
ComplyRight 2025 1099-INT Tax Form Envelopes, 4-Part, 2-Up, Copies A, B, C, 10/Pack (6106E10)
Item #: 901-24507936
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)
4-Part Set with Envelopes, Copies A, B, C, 2-Up
1 Page Equals 2 Forms
$31.79
1-2 each
Save 18%
$25.99
3+ each
Permatex® Form-A-Gasket® Sealants, 3 oz, tube
Item #: 901-710567ORS
Black gasket sealants for efficient sealing and bonding
3 oz. tube for convenient application
Flexible sealant can be used on non-rigid and vibrating surfaces
$194.99
Per carton
ComplyRight 2025 1099-MISC Tax Form Self-seal envelopes, 3-Part, 2-Up, Copy A, B, C/2, 1096 Transmittal, 25/Pack (6102E25)
Item #: 901-24578220
1099-MISC tax form is designed to report payments made in the course of your business for each person to whom you paid at least 10 dollars in royalties or at least 600 dollars in rents
Consists of three parts
Tax form page format: 2-Up
$26.49
Per each
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
$32.89
1-2 each
Save 15%
$27.99
3+ each
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
$55.19
1-8 each
Save 24%
$41.99
9+ each
ComplyRight 2025 1099-MISC Tax Form Envelopes and Recipient Copy Only, 3-Part, 2-Up, Copy B, C/2, 50/Pack (6113E)
Item #: 901-24578226
1099-MISC 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
Consists of three parts
2-up format: one sheet equals two forms
$47.69
Per each
ComplyRight 2025 1099-NEC Recipient Copy Only Tax Form, Envelopes and LaserLink Software, 3-Part, 3-Up, White, 50/Pack
Item #: 901-24614850
1099-NEC Blank Tax Form, No Backer (50), Self-Seal Envelopes (50) and LaserLink Software – 1 Page Equals 3 Forms
Includes LaserLink software: A simple, efficient desktop software application for preparing 1099s and W-2s. Backed by reliable, Windows-based functionality, this software provides the features you need to print or e-file your 1099 and W-2 forms.
Pack of 50
$100.99
Per each
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
$21.99
Per pack
Medical Arts Press® Physical Exam Forms, Green FormFamily™, Top Punched, 250/PK
Item #: 901-20379
Type of form: Physical exam form
250 per pack
Size: 8 1/2" x 11"
$54.19
1 pack
($0.22/EACH)
Save 13%
$46.99
2+ pack
($0.19/EACH)
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 3 7/8" x 8 3/8", 50/Pack (DW19WS50)
Item #: 901-24507904
Double-window envelope for 3-Up 1099 tax form.
Self-sealing for added convenience.
Pack of 50 envelopes.
$39.29
Per each
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 8%
$45.99
8+ each
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
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)
ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 3 7/8" x 8 3/8", 50/Pack (DW19W)
Item #: 901-24507972
Double-window envelope for 3-Up 1099 tax form.
Features a moisture/gum-seal flap.
Pack of 50 envelopes.
$39.29
Per each
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.
$50.99
1-7 each
Save 27%
$36.99
8+ each
Quill Brand® 9.5" x 11" 4 Part Form Paper, 15 lbs., 92 Brightness, 850 Sheets/Carton (710754)
Item #: 901-710754
4-part form paper produces letter-size originals and three copies fast and fuss-free
Paper weight: 15 lb. white top sheet, 15 lb. bottom sheets
8-1/2x11" without carrier strips (9-1/2x11" with 1/2" standard perforated carrier strips)
$258.09
Per carton
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, White, 25/Pack (7777225)
Item #: 901-24507916
Double-window envelope for 2-Up 1099 tax form.
Self-sealing for added convenience.
Pack of 25 envelopes.
$39.29
1-7 each
Save 24%
$29.99
8+ each
Adams 3-Part Carbonless Receipts Book, 7.19" x 2.75", 50 Forms/Book (ABF TC2701)
Item #: 901-TC2701
Money and rent receipt book is consecutively numbered for easy organization
Form size: 7.19"W x 2.75"L
3-Part Carbonless forms for accurate record keeping
$13.99
1-7 each
Save 7%
$12.99
8+ each
