Page 3 of replacement superbill forms
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ComplyRight 2025 W-2 Tax Form Set with Self-Seal Envelopes, 4-Part, 2-Up, For 50 Employees
Item #: 901-24650565
Form W-2 and transmittal Form W-3 for reporting wages and tax statements
4-Part Set Includes: Copy A, B, C, D (25 Sheets each) 3 Transmittals and 50 Self-Seal envelopes
2-Up: 2 Forms per Sheet
$51.99
Per each
TOPS Tax Form Envelopes, 5 5/8 x 9, White, 100/Pack (7985E100)
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
$40.39
Per pack
($0.40/EACH)
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
$44.59
1-5 pack
($0.45/EACH)
Save 6%
$41.99
6+ pack
($0.42/EACH)
ComplyRight 2025 W-2 Tax Form, 4-Part, 4-Up, Employee Copy, 50/Pack (520650)
Item #: 901-24507930
W-2 form provides wage and income information to your employees, the SSA, the IRS, and state and local governments
4-up format : Employee Copy B, C, 2, and 2 forms (horizontal)
For laser printers
$37.09
Per each
ComplyRight 2025 W-2 Tax Form Envelopes/Recipient Copy Only, 5-Part, 2-Up, Copy B, C/2, D/1, 25/Pack (5648E25)
Item #: 901-24578230
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 five parts
2-up format: one sheet equals two forms
$36.09
Per each
TaxRight 2025 1099-NEC Tax Form Tax Forms, Envelopes, TipSheet & Software, 4-Part, 15/Pack (NECSC6103ES15)
Item #: 901-24461395
1099-NEC (4-Part) tax form set with software and envelopes.
Includes (3) 1096 transmittal forms.
Features ComplyRight tips for optimal, compliant use - Covers minimum requirements, penalties, common errors and employer do's and don'ts.
$32.89
1-2 each
Save 9%
$29.99
3+ each
TaxRight 2025 1099-NEC Tax Form Tax Forms, Envelopes, TipSheet & Software, 4-Part, 25/Pack (NECSC6103ES25)
Item #: 901-24461396
1099-NEC (4-Part) tax form set with software and envelopes.
Includes (3) 1096 transmittal forms.
Features ComplyRight tips for optimal, compliant use - Covers minimum requirements, penalties, common errors and employer do's and don'ts.
$56.29
Per each
TaxRight 2025 W-2 Tax Form Tax Forms, Envelopes, TipSheet & Software, 4-Part, 10/Pack (SC5645ES10)
Item #: 901-24199724
W-2 (4-Part) tax form set with software and envelopes.
Includes (3) W-3 transmittal forms.
Features ComplyRight tips for optimal, compliant use - Covers minimum requirements, penalties, common errors and employer do's and don'ts.
$61.59
Per each
TaxRight 2025 1099-MISC Tax Form Tax Forms, Envelopes, TipSheet & Software, 4-Part, 50/Pack (SC6103ES)
Item #: 901-24420216
1099-MISC (4-Part) tax form set with software and envelopes.
Includes (3) 1096 transmittal forms.
Features ComplyRight tips for optimal, compliant use - Covers minimum requirements, penalties, common errors and employer do's and don'ts.
$74.39
1-2 each
Save 9%
$67.99
3+ each
TaxRight 2025 W-2 Tax Form Tax Forms, Envelopes, TipSheet & Software, 6-Part, 10/Pack (SC5650ES10)
Item #: 901-24202435
W-2 (6-Part) tax form set with software and envelopes.
Includes (3) W-3 transmittal forms.
Features ComplyRight tips for optimal, compliant use - Covers minimum requirements, penalties, common errors and employer do's and don'ts.
$58.39
1-3 each
Save 6%
$54.99
4+ each
TaxRight 2025 1099-NEC Tax Form Tax Forms, Envelopes, TipSheet & Software, 4-Part, 50/Pack (NECSC6103ES)
Item #: 901-24461403
1099-NEC (4-Part) tax form set with software and envelopes.
Includes (3) 1096 transmittal forms.
Features ComplyRight tips for optimal, compliant use - Covers minimum requirements, penalties, common errors and employer do's and don'ts.
$72.19
Per each
TaxRight 2025 1099-MISC Tax Form Tax Forms, Envelopes, TipSheet & Software, 4-Part, 10/Pack (SC6103ES10)
Item #: 901-24199726
1099-MISC (4-Part) tax form set with software and envelopes.
Includes (3) 1096 transmittal forms.
Features ComplyRight tips for optimal, compliant use - Covers minimum requirements, penalties, common errors and employer do's and don'ts.
$50.99
1-2 each
Save 14%
$43.99
3+ each
TaxRight 2025 W-2 Tax Form Tax Form Set with Envelopes, 4-Part, 50/Pack (SC5645E)
Item #: 901-24420226
W-2 (4-Part) tax form set with envelopes.
Includes (3) W-3 transmittal forms.
Features ComplyRight tips for optimal, compliant use - Covers minimum requirements, penalties, common errors and employer do's and don'ts.
$83.79
Per each
ComplyRight 2025 W-2 Tax Form Tax Form Set with Envelopes, 6-Part, 2-Up, 50/Pack (95216E)
Item #: 901-24431092
Form W-2 and transmittal Form W-3 for reporting wages and tax statements
Pre-packaged six-part form set includes copies A, B, C, D, 1, 2
For laser printers
$84.99
Per each
ComplyRight 2025 W-2 Tax Form Tax Form Set with Envelopes, 8-Part, 2-Up, 50/Pack (95218E)
Item #: 901-24431094
Form W-2 and transmittal form W-3 for reporting wages and tax statements
Pre-packaged eight-part form set includes copies A, B, C, D, 1, 2
For laser printers
$99.89
1-2 each
Save 24%
$75.99
3+ each
ComplyRight 2025 W-2 Blank Tax Form, 4-Up (Horizontal), with Backer Instructions, Pack of 500 Forms
Item #: 901-24650554
Form W-2 provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part, blank tax form
For laser printers
$92.99
Per each
ComplyRight 2025 W-2 Blank Tax Form, 4-Up, Horizontal with Backer Instructions, Pack of 50 Forms
Item #: 901-24650542
Form W-2 provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part, blank tax form
For laser printers
$10.99
Per each
ComplyRight 2025 1099-MISC Blank Tax Form, Copy B & C, 3-Up w/ Backer, Pack of 50 Forms
Item #: 901-24650544
Copy B & C with Backer
Blank tax form
Pack of 50 forms
$7.99
Per each
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 901-CMS12LC1
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
$82.99
Per carton
($0.08/EACH)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
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)
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
$36.99
Per pack
($0.15/EACH)
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 2026 Attendance Calendar Card, 25 Forms/Pack (A4000W25)
Item #: 901-2548993
Calendar format on front of form makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Provides legal "backup" for personnel decisions, such as disciplinary action or termination
$68.79
Per pack
($2.75/EACH)
ComplyRight 2025 1099-NEC Tax Form Envelopes, 4-Part, 3-Up, Copy A, B, C/2, 1096 Transmittal, 100/Pack (NEC6103E100)
Item #: 901-24578201
1099-NEC tax form set is created for companies to report payments made to an individual who performed services in the course of business as a nonemployee
Consists of four parts
3-up page format: three forms on a single sheet
$57.29
Per each