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Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns
Item #: 901-745804
20-lb. ledger green paper
50 numbered lines, every fifth horizontal line heavily ruled as line guide
10,000,000 units per column
$69.99
Per pack
Staples® Record Book, 300 Pages, Black (18658/26510)
Item #: 901-217695
Record book for keeping track of tons of information
Black cover with burgundy spine and corners for elegant look
Contains 300 numbered pages, faintly ruled with margin lines; 33 lines per page
$49.99
1-4 each
Save 4%
$47.99
5+ each
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 1 RX Blank/Sheet, High Security, 500/Pack
Item #: 901-83405
Security features exceed industry guidelines and meet all Medicaid requirements
Void pantograph - the word "VOID" appears when form is photocopied
Chemical protection - stains or spots appear with chemical alteration
Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530)
Item #: 901-2678550
Confidentially sign in your patients with guest-check forms
Business-form size: 11.63"L x 8.5"W
2 Part Carbon
$74.99
Per pack
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
$78.99
Per carton
Solid Color Laser Statements; Style A, with Credit Card Information, Blue
Item #: 901-30471D
Light Blue Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3.68 From top Of Sheet
$45.99
Per pack
Quill® Economy Columnar Pads for Prong Fasteners; 6 Columns
Item #: 901-745806
20-lb. ledger green paper
10,000,000 units per column
6 columns; Description Column is 1-7/8" wide
$81.99
Per pack
Solid Color Laser Statements, Style D, without Credit Card Information, Blue
Item #: 901-30465A
Solid Color Style D Laser Statements
Size: 8.5 X 11 inch
500/Package
$42.99
Per pack
Medical Arts Press® Replacement Day Sheet Forms; Bond, Format S1, 50 Forms/Pack (WJM11)
Item #: 901-20527
Replacement day sheet forms
Number of parts: One
50/Pack
$37.99
2+ pack
Chiropractic Registration and History Form without Updates, Sky Blue
Item #: 901-20572
Forms ensure reimbursement, improve risk management and document your clinical process
Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness
Also features areas for severity, onset, effect on daily activities, and co
$61.99
1 pack
Save 6%
$57.99
2+ pack
Adams 2024 1099-NEC Tax Form with Self-Seal Envelope, 4-Part, 3-Up, Copy A, 1, B, 2, 12/Pack (STAX512NEC-24)
Item #: 901-24596830
Use Form 1099-NEC to report non-employee compensation paid to independent contractors; the 1099-NEC is still a continuous-use form with a fill-in-the-year date field good for multiple tax years
The 2024 1099-NEC must be mailed or eFiled to the IRS and furnished to your recipients by January 31, 2025; As of 2023, IRS eFile regulations require e-Filing for 10 or more returns; Use the new Adams Tax Forms Helper to eFile to the IRS/SSA
4-Part 1099-NEC forms print 3 to a page on 4 micro-perforated sheets with copies A, 1, B & 2
$45.99
Per pack
Adams 3-Part Carbonless Receipt Book, 10.88" x 7.63", 100 Sets/Book (TC1182)
Item #: 901-TC1182
Carbonless soft-cover money/receipt books for general receipts
Originals are white in color and copies are canary and pink in color and made of smooth carbonless paper for convenience
Contains one 100-receipt book per pack
$17.79
1-4 each
Save 4%
$16.99
5+ each
Medical Arts Press® Dental Registration and History Form
Item #: 901-20605
Form allows you to gather complete information from patients
Simple to fill out with individually numbered sections
Includes sections on patient information, insurance, history and more
$49.99
1-3 pack
Save 4%
$47.99
4+ pack
Staples Columnar Books, 100 Pages, Green, 2/Pack (217844ABF)
Item #: 901-217844
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 4 columns
$19.79
1-3 pack
Save 4%
$18.99
4+ pack
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 2,500 (CMS12LC)
Item #: 901-125557
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
$112.99
Per pack
Adams 2024 1099-NEC Tax Form with 10 e-files, 4-Part, 3-Up, Copy A, 1, B, 2, 50/Pack (STAX550NEC-24)
Item #: 901-24596828
Use Form 1099-NEC to report non-employee compensation paid to independent contractors; the 1099-NEC is still a continuous-use form with a fill-in-the-year date field good for multiple tax years
The 2024 1099-NEC must be mailed or eFiled to the IRS and furnished to your recipients by January 31, 2025; As of 2023, IRS eFile regulations require e-Filing for 10 or more returns; Use Adams Tax Forms Helper to eFile to the IRS/SSA
4-Part 1099-NEC forms print 3 to a page on 17 micro-perforated sheets with copies A, 1, B & 2
$55.99
Per pack
Adams 2024 W-2 Tax Form with W-3 Forms and Access to Tax Forms Helper, 6-Part, 2-Up, Copy A, 1, B, C, 2, D, 50/Pack
Item #: 901-24596813
Use Form W-2 to report employee wages, tips and taxes withheld to the Social Security Administration and your employees
2024 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by January 31, 2025; As of 2023, IRS eFile regulations require e-Filing for 10 or more returns; Use Adams Tax Forms Helper to eFile to the IRS/SSA
6-Part W-2 forms print 2 to a page on 25 micro-perforated sheets with copies A, 1, B, C, 2 and D
$56.99
Per pack
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
$40.99
Per box
Medical Arts Press® Continuation Notes, White, No Punch Option
Item #: 901-20131NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$49.99
Per pack
Solid Color Laser Statements; Style A, with Credit Card Information, Purple
Item #: 901-30471C
Light Purple Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3.68 From top Of Sheet
$47.99
Per pack
Adams® Carbonless Receipt Book, 3" x 8", 2-Part, 200 Sets/Book (SC1182)
Item #: 901-SC1182
Rent receipt books for recording monthly financial payments
Carbonless paper creates white originals and canary duplicates
Four forms per page and 50 pages; 200 forms per book
$13.59
1-3 each
Save 4%
$12.99
4+ each
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 4 RX Blanks/Sheet, High Security
Item #: 901-83406
Security features exceed industry guidelines and meet all Medicaid requirements
Void pantograph - the word "VOID" appears when form is photocopied
Chemical protection - stains or spots appear with chemical alteration
Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
Item #: 901-2678548
Patient sign-in label forms to sign in your patients confidentially
Form consists of three parts: a label sheet, a carbon sheet, and a log behind it
125 sheets per package
$84.99
Per pack
Adams 2024 W-2 4-up Employee Copy Blank Front with Copy B&C Backers, Laser/Inkject Tax Forms, 100 sheets/pack (LW24UPB100)
Item #: 901-5209
2024 Blank W-2 Forms have Copy B & C instructions printed on the back
2024 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by January 31, 2025; 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 include Copy B & C instructions on the back
$42.99
1-5 pack
Save 6%
$39.99
6+ pack