Page 4 of replacement superbill forms
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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
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
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
Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
Adams 2025 W-2 Tax Form, 1-Part, Copy 1/D, 100/Pack (LW2ERQ)
Item #: 901-5204
2025 1-Part W-2 Copy 1 or D Forms for up to 100 employees
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; 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
1-Part W-2 Copy 1/D sheets
Adams 2025 W-2 Tax Form, 1-Part, Copy C, 100/Pack (LW2EEC2)
Item #: 901-5203
2025 1-Part W-2 Copy C or 2 Forms for up to 100 employees
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; 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
1-Part W-2 Copy C/2 sheets
ComplyRight 2025 W-2 Tax Form Envelopes/Recipient Copy Only (No Backer), 1-Part, 4-Up, 50/Pack (5221E)
Item #: 901-24578231
W-2/1099 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
Tax form page format: 4-up
50 tax forms per pack
Adams Employee's Copies Cut Sheet 2025 W-2 Tax Form, 1-Part, Copy B, C, 2, 100/Pack (LW24UPALT100)
Item #: 901-5205
2025 4 Corner W-2 Forms for 100 employees
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; 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
W-2 forms include Copies B, 2, C, 2 in 4 per sheet format
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
Adams Employee's Copies Cut Sheet 2025 W-2 Tax Form, 5-Part, 2000/Carton (LW24UPBBULK-S)
Item #: 901-920128
2025 Blank W-2 Forms have Copy B & C instructions printed on the back
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; 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
W-2 forms include Blank Fronts with Copy B & C instructions printed on the back
ComplyRight 2025 1099-MISC Tax Form Envelopes/Recipient Copy Only, 3-Part, 25/Pack (6112E25)
Item #: 901-24578202
Recipient-only tax form with envelope 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
25 tax forms with envelopes per pack
Adams 2025 1099-NEC Tax Form, 1-Part, 100/Pack (LNECPAY2)
Item #: 901-LNECPAY2
2025 1-Part 1099-NEC Copy 1 or 2 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 ...
IRS/SSA ...
ComplyRight 2025 1099-NEC Tax Form Recipient Copy Only, 3-Part, 3-Up, Copy B, C/2, 50/Pack (NEC6113)
Item #: 901-24578203
1099-NEC recipient-only tax form set designed for organizations that will be required to e-file, and therefore will not need Copy A or transmittal forms 1096 or W-3
Includes three-part tax forms
3-Up forms: three forms on a single sheet
ComplyRight 2025 1099-DIV Tax Form, 1-Part, 2-Up, Federal Copy A, 50/Pack (513050)
Item #: 901-24507956
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. ...
Federal Copy A, 2-Up
ComplyRight 2025 W-2 Tax Form Envelopes/Recipient Copy Only, 1-Part, 4-Up, Copy B, C, 2 and 2 combined, 50/Pack (5205E)
Item #: 901-24578181
W-2 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
4-up page format
Includes copies B, C, 2 and 2 combined
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
ComplyRight 2025 1099-MISC Tax Form, 2-Part, 2-Up, 50/Pack (510850)
Item #: 901-24507910
File the 1099-MISC form for each person in the course of your business to whom you have paid at least $10 in royalties or broker payments in lieu of dividends and various other income payments
2-up form
For laser printers
ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Federal Copy A, 50/Pack (514050)
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
ComplyRight 2025 1099-NEC Tax Form Envelopes/Recipient Copy Only, 2-Part, 3-Up, Copy B, C/2, 50/Pack (NEC6113E)
Item #: 901-24578213
1099-NEC recipient-only tax form 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 two parts
Tax form page format: 3-Up
ComplyRight 2025 1099-INT Tax Form, 1-Part, 2-Up, Copy A, 50/Pack (512050)
Item #: 901-24507923
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)
Federal Copy A, 2-Up
1 Page Equals 2 Forms
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
ComplyRight 2025 1099-MISC Tax Form Envelopes/Recipient Copy Only, 3-Part, 50/Pack (6112E)
Item #: 901-24578223
1099-MISC recipient-only blank tax form 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
Includes a universal blank with stub for all 1099-MISC, 1099-INT, 1099-R, 1099-DIV, and 1099-B forms
ComplyRight 2025 W-2 Blank Tax Form, 3-Up, 500/Pack (5211B)
Item #: 901-24650556
Blank form with Backer Instructions and Stub
3-Up
Pack of 500 Forms
Adams Employee's Copies Cut Sheet 2025 Blank W-2 Tax Form, 1-Part, 2-Up, 100/Pack (BLW2Q)
Item #: 901-5207
2025 Blank W-2 Forms for up to 100 employees
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; 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
Blank W-2 forms with blank backers
