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Page 2 of replacement forms for pegboard systems

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ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
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ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-CMS12LC250
(51)
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)
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Earn 44 points
Free next-day delivery
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Pack of 500 (CMS12LC500)ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Pack of 500 (CMS12LC500)
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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-CMS12LC500
(34)
Item #: 901-CMS12LC500
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
$50.99
Per pack
($0.10/EACH)
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Earn 50 points
Free delivery
Staples Ledger Binder, 200 Pages, Blue Marble (26520)
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Staples Ledger Binder, 200 Pages, Blue Marble (26520)
Item #: 901-296509
(63)
Item #: 901-296509
Ledger binder is an excellent choice for storing your important documents
Blue marbled cover and white bond paper
Includes 200 pages printed on front and back with green lines
$49.99
Per each
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Earn 49 points
Free delivery
Quill Brand® Message Book, 11 x 5-1/2, White, 400 Forms/Book (745400)
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Quill Brand® Message Book, 11" x 5-1/2", White, 400 Forms/Book (745400)
Item #: 901-745400
(53)
Item #: 901-745400
Phone message books simplify call and message tracking in the office
Size: 11" x 5-1/2"
400 messages per book
$16.99
Per each
Add to cart
Earn 16 points
Free next-day delivery w/ $25+
ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 25/Pack (510025)ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 25/Pack (510025)
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ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 25/Pack (510025)
Item #: 901-24507927
(3)
Item #: 901-24507927
Use form 1096 to submit the totals from information returns to the Internal Revenue Service.
Transmittal Form
1 Page Equals 1 Form
$27.69
1-4 each
Save 12%
$24.39
5+ each
Add to cart
Earn 27 points
Free delivery
Quill Brand® 20-lb. Bond Continuous Form Paper, 9-1/2x11, 1000/Ctn.
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Quill Brand® 20-lb. Bond Continuous Form Paper, 9-1/2x11", 1000/Ctn.
Item #: 901-710761
(6)
Item #: 901-710761
Reliable business paper is perfect for business use
Paper dimensions: 9.5"W x 11"L
Paper weight: 20 lbs.
$53.89
Per carton
($0.05/EACH)
Add to cart
Earn 53 points
Free delivery
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 20-lb., 2700 Sheets/Carton (177113)Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 20-lb., 2700 Sheets/Carton (177113)
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Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11", 20-lb., 2700 Sheets/Carton (177113)
Item #: 901-710603
(3)
Item #: 901-710603
Reliable business paper is perfect for professional use
Paper dimensions: 11"W x 14.88"L
Paper weight: 20 lbs.
$137.99
Per carton
($0.05/EACH)
Add to cart
Earn 137 points
Free delivery
Medical Arts Press Dental Registration Forms, 250/Pack (20558)Medical Arts Press Dental Registration Forms, 250/Pack (20558)
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Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 901-20558NP
(3)
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
$67.09
Per pack
($0.27/EACH)
Add to cart
Earn 67 points
Free delivery
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 18-lb., 2800 Sheets/Carton (ST489122/177172)Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 18-lb., 2800 Sheets/Carton (ST489122/177172)
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Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11", 18-lb., 2800 Sheets/Carton (ST489122/177172)
Item #: 901-710601
(8)
Item #: 901-710601
Business computer paper is excellent for making carbonless copies
Paper dimensions: 14.875"W x 11"L
Paper weight: 18 lbs.
$152.99
Per carton
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Earn 152 points
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ComplyRight 2025 1099-MISC Tax Form, 4-Part, 2-Up, Copy A, B, C/2, 1096 Transmittal, 25/Pack (610325)
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ComplyRight 2025 1099-MISC Tax Form, 4-Part, 2-Up, Copy A, B, C/2, 1096 Transmittal, 25/Pack (610325)
Item #: 901-24578190
(5)
Item #: 901-24578190
1099-MISC tax form set 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 four parts
2-up page format: two forms on a single sheet
$24.39
Per each
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Earn 24 points
Free delivery w/ $25+
Medical Arts Press Registration Forms without Updates Section ; Brush SilhouetteMedical Arts Press Registration Forms without Updates Section ; Brush Silhouette
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Medical Arts Press Registration Forms without Updates Section ; Brush Silhouette
Item #: 901-21786
(1)
Item #: 901-21786
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Silhouetted toothbrush design welcomes patients
Printed in 1-color on two sides on 24-lb. white bond paper
$62.69
Per pack
($0.25/EACH)
Add to cart
Earn 62 points
Free delivery
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x8-1/2, 18-lb., 2800 Sheets/Carton (ST489125/177175)Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x8-1/2, 18-lb., 2800 Sheets/Carton (ST489125/177175)
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Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x8-1/2", 18-lb., 2800 Sheets/Carton (ST489125/177175)
Item #: 901-710747
(1)
Item #: 901-710747
Business computer paper is excellent for making carbonless copies
Paper dimensions: 14.88"W x 8.5"L
Paper weight: 18 lbs.
$120.99
Per carton
($0.04/EACH)
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Earn 120 points
Free delivery
ComplyRight 2025 1099-NEC Tax Form, 3-Part, 3-Up, Copy A, B, C/2, 1096 Transmittal, 50/Pack (NEC6102)
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ComplyRight 2025 1099-NEC Tax Form, 3-Part, 3-Up, Copy A, B, C/2, 1096 Transmittal, 50/Pack (NEC6102)
Item #: 901-24578187
(3)
Item #: 901-24578187
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 three-part tax forms
3-Up forms: three forms on a single sheet
$31.79
Per each
Add to cart
Earn 31 points
Free delivery
ComplyRight 2025 1099-MISC Tax Form Self-seal envelopes, 3-Part, 2-Up, Copy A, B, C/2, 1096 Transmittal, 25/Pack (6102E25)
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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
(5)
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
$31.99
Per each
Add to cart
Earn 31 points
Free delivery
ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Payer Copy D, 50/Pack (514350)
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ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Payer Copy D, 50/Pack (514350)
Item #: 901-24507924
(1)
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
$27.69
1-2 each
Save 13%
$24.09
3+ each
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Earn 27 points
Free delivery
ComplyRight 2025 1099-NEC Tax Form Self-seal envelopes, 3-Part, 3-Up, Copy A, B, C/2, 1096 Transmittal, 50/Pack (NEC6102E)
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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
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
$36.99
Per each
Add to cart
Earn 36 points
Free delivery
Medical Arts Press® Dental Treatment Consent Form; 1-SidedMedical Arts Press® Dental Treatment Consent Form; 1-Sided
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Medical Arts Press® Dental Treatment Consent Form; 1-Sided
Item #: 901-20606
Item #: 901-20606
Provides your patient complete information about their treatment and its risks
Obtains written consent for your records
Just check off applicable conditions; patient reads explanation, initials and signs
$20.99
1 pack
($0.08/EACH)
Save 5%
$19.99
2+ pack
($0.08/EACH)
Add to cart
Earn 20 points
Free delivery w/ $25+
ComplyRight 2025 1099-NEC Tax Form 50 self-seal envelopes, 4-Part, 3-Up, Copy A, B, C/2, 1096 Transmittal, 50/Pack (NEC6103E)
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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
(2)
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
Add to cart
Earn 51 points
Free delivery
ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Federal Copy A, 50/Pack (514050)
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ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Federal Copy A, 50/Pack (514050)
Item #: 901-24507973
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
$27.69
1-2 each
Save 17%
$23.09
3+ each
Add to cart
Earn 27 points
Free delivery
ComplyRight 2025 1099-MISC Tax Form, 1-Part, 2-Up, Federal Copy A, 25/Pack (511025)
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ComplyRight 2025 1099-MISC Tax Form, 1-Part, 2-Up, Federal Copy A, 25/Pack (511025)
Item #: 901-24431083
(16)
Item #: 901-24431083
1099-MISC tax form for payments, such as miscellaneous income made in the course of a trade or business
2-Up Federal Copy A tax forms
Single part
$35.09
1-3 each
Save 6%
$32.99
4+ each
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Earn 35 points
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Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
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Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Item #: 901-20596
(4)
Item #: 901-20596
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$63.79
Per pack
($0.26/EACH)
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Earn 63 points
Free delivery
Out of stock
Adams 2025 1099-NEC Tax Form, 6-Part, Copy B, 50/Pack (LNECREC-S)
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Adams 2025 1099-NEC Tax Form, 6-Part, Copy B, 50/Pack (LNECREC-S)
Item #: 901-24450255
(11)
Item #: 901-24450255
2025 1-Part 1099-NEC Copy B 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 ...
$19.09
Per pack
($0.38/EACH)
Notify me
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Adams Employees Copies Cut Sheet 2025 1099-INT Tax Form, 4-Part, 50/Pack (LINTFED-S)
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Adams Employee's Copies Cut Sheet 2025 1099-INT Tax Form, 4-Part, 50/Pack (LINTFED-S)
Item #: 901-920063
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Item #: 901-920063
2025 1-Part 1099-INT Copy A Forms for reporting interest income for 100 recipients.
For paper filers, the 2025 1099-INT Copy A is due by Feb. 28; or eFile by March 31st; as of 2023, 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
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Adams 2025 1099-MISC Tax Form, 5-Part, Copy B, 50/Pack (LMISCREC-S)
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Adams 2025 1099-MISC Tax Form, 5-Part, Copy B, 50/Pack (LMISCREC-S)
Item #: 901-920081
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Item #: 901-920081
2025 1-Part 1099-MISC Form Copy B for 100 recipients
For paper filers, the 2025 1099-MISC Copy B is due to your recipients by Feb. 2, 2026 (if box 8 & 10 are empty) or Feb. 15 (if filled); Copy A & 1096 are due by Feb. 28; or eFile by March 31; as of 2023, 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 ...
$16.89
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