Page 7 of replacement superbill forms
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ComplyRight 2025 Pressure-Seal 1099-MISC Tax Form, 1-Part, 4-Up, 500/Pack (5501B)
Item #: 901-24650562
1099-MISC Blank Pressure-Seal Tax Form, Copy B, 2 with Backer
4-Up (Box), Z-Fold, 11"
Pack of 500 Forms
$141.99
Per each
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
$40.39
Per each
ComplyRight 2025 W-2C Tax Form, 1-Part, Copy 2/C, 50/Pack (531650)
Item #: 901-24507902
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 2/C
For laser printers
$36.09
Per each
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
$92.99
Per each
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
$212.99
Per each
ComplyRight 2025 W-2 Tax Form, 1-Part, 4-Up, Copy B and C, 500/Pack (5227B)
Item #: 901-24650560
Pressure-Seal Tax Form, Copies B, C, 2, 2,
EZ-Fold Simplex, 14"
Pack of 500 Forms
$212.99
Per each
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
$141.99
Per each
ComplyRight 2025 Pressure-Seal W-2 Tax Form, 1-Part, 4-Up, 500/Pack (5224B)
Item #: 901-24650558
W-2 Pressure-Seal Tax Form, Employee’s Copy B, C, 2 Or Extra Copy
EZ-Fold Simplex , 14"
Pack of 500 Forms
$212.99
Per each
ComplyRight 2025 Double-Window Envelopes For 1099-R Tax Forms, 4-Up Box, Self-Seal, Pack Of 100
Item #: 901-24650541
Double-window envelope accommodates 4-Up 1099-R (5175) forms.
Features a self-seal flap.
Pack of 100 envelopes.
$49.99
Per each
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
$17.99
Per each
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
$77.49
1-2 each
Save 14%
$66.99
3+ each
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
$17.99
Per each
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 25/Pack (1095CIRS25)
Item #: 901-24507922
1095-C tax form
Single-part
For laser printers
$27.59
Per each
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
$52.99
Per each
ComplyRight 2025 1095-B Tax Form, 1-Part, White/Black, 50/Pack (1095B50)
Item #: 901-24507929
1095-B tax form used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage
Consists of two parts
For laser printers
$25.99
Per each
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
$17.99
Per each
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 25/Pack (1095CIRSC25)
Item #: 901-24507963
1095-C continuation form is used to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees
Consists of two parts
For laser printers
$26.99
Per each
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
$18.99
1-2 each
Save 16%
$15.99
3+ each
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
$92.99
Per each
Adams Self Seal Security Tinted Double Window W-2 Tax Form Envelope, White, 100/Pack (DW4ALTPS100)
Item #: 901-24496518
Simple, high-quality double-window envelope for W-2 tax forms (four-up forms per sheet in four-corner style)
Dimensions: 5 5/8" x 9"
Made of white paper
$62.99
1-5 pack
($0.63/EACH)
Save 5%
$59.99
6+ pack
($0.60/EACH)
Adams Security Tinted Double Window 1099 Tax Form Envelope, White, 100/Pack (S1099-3E)
Item #: 901-24496516
Simple, high-quality double-window envelope for 1099 tax forms (three-up)
Dimensions: 3 3/4" x 8 3/4"
Made of white paper
$31.99
Per pack
($0.32/EACH)
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"
$71.19
Per pack
($0.71/EACH)
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"
$65.99
Per pack
($0.66/Envelope)
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
$47.99
1-4 each
Save 15%
$40.99
5+ each