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Forms

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TOPS Job 3-Part Carbonless Work Orders Forms, 8.62L x 5.67W, 50 Forms, Each (TOP 3868)

TOPS Job 3-Part Carbonless Work Orders Forms, 8.62"L x 5.67"W, 50 Forms, Each (TOP 3868)

Job work-order forms designed to provide a space for work, costs, and totals
Business-form size: 8.62"L x 5.67"W
3-Part Carbonless forms for accurate record keeping
$17.99 Pack When you buy 6+
or
This item ships FREE *
Item # 901-3868
Model # 3868
Adams® Carbonless Bill of Lading Forms, 8-1/2 x 7-1/2, 3 Part, 50/Pack

Adams® Carbonless Bill of Lading Forms, 8-1/2 x 7-1/2", 3 Part, 50/Pack

Bill of Lading forms are carbonless snap sets
Three-part carbonless (all parts are white)
50 sets/pack
$12.29 Pack
This item ships FREE *
Item # 901-195941
Model # 9013
Custom Carbonless 2-Part Forms, 8-1/2 x 11, 250 Sets per Pack

Custom Carbonless 2-Part Forms, 8-1/2" x 11", 250 Sets per Pack

Design your own forms using your own artwork
8-1/2" W x 11" L
2-part, white/canary, carbonless
$22.99 Pack When you buy 20+
or
This item ships FREE *
Customize
Item # 901-QFNL2P1S1R
Model # 7QGFML2P1S1R
Centers for Medicare and Medicaid Services Forms, 8-1/2 x 11, 250 Forms

Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250 Forms

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
$22.59 Pack
This item ships FREE *
Item # 901-2408453
Model # 50135RV
ComplyRight 2021 1099-MISC Tax Forms, Laser, Pack of 50 (95914E)

ComplyRight 2021 1099-MISC Tax Forms, Laser, Pack of 50 (95914E)

Please note that Form 1099-MISC is no longer used for Non-Employee Compensation as of 2020 Tax Year
1099-MISC tax form for payments, such as miscellaneous income made in the course of a trade or business
Pre-packaged four-part form set contains copies A, B, C, "Copy 2", with envelopes and three 1096 transmittal forms
$24.99 Each
This item ships FREE *
Item # 901-24431084
Model # 95914E
ComplyRight 2021 1099-MISC Tax Forms, Federal Copy A, Laser, Pack of 25 (511025)

ComplyRight 2021 1099-MISC Tax Forms, Federal Copy A, Laser, Pack of 25 (511025)

Please note that Form 1099-MISC is no longer used for Non-Employee Compensation as of 2020 Tax Year
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
$4.59 Each
This item ships FREE *
Item # 901-24431083
Model # 511025
ComplyRight Employee Warning Notice Forms (AR0395)

ComplyRight Employee Warning Notice Forms (AR0395)

Plus, this handy form includes space for employee and supervisor signatures.
50 Pack
Size: 81/2” x 11”
$44.99 Pack
This item ships FREE *
Item # 901-712137
Model # null
Medical Arts Press® Health History & Registration Forms; Patient Information Form

Medical Arts Press® Health History & Registration Forms; Patient Information Form

Impress your patients right from the start by gathering the information you need in a snap
100 per pack
Size: 8-1/2x11"
$14.59 Pack When you buy 10+
or
This item ships FREE *
Item # 901-64672
Model # 64672
Lifetime Warranty
ComplyRight Payroll Change Notice Forms (AR0394)

ComplyRight Payroll Change Notice Forms (AR0394)

Ensures all employees have updated, current payroll records
Size: 8 1/2" X 11"
50 per pack
$39.99 Pack
This item ships FREE *
Item # 901-712138
Model # null
Custom 2-Part Snapset CMS Forms, 8-1/2 x 11, 500 Sets per Pack

Custom 2-Part Snapset CMS Forms, 8-1/2" x 11", 500 Sets per Pack

Snapset form for use by all medical facilities for billing insurance companies, Medicaid and Medicare; aligned with the electronic HIPAA ASC X12N 837 Non-institutional Transaction Standard
8-1/2" W x 11" L
2-part, white/canary, carbonless
$164.99 Pack When you buy 8+
or
This item ships FREE *
Customize
Item # 901-QFW1471701
Model # 7QGFM1471701
Medical Arts Press® Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish

Medical Arts Press® Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish

HIPAA-compliant insurance authorization
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
$42.99 Pack When you buy 8+
or
This item ships FREE *
Item # 901-20743
Model # 20743
Lifetime Warranty
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12) with QR Barcode, Laser-Cut Sheet, 2,500/Bo

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12) with QR Barcode, Laser-Cut Sheet, 2,500/Box

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 health care 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
$80.99 Box When you buy 2+
or
This item ships FREE *
Item # 901-CMS12LC
Model # CMS12LC
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 250/Box

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 250/Box

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
$14.59 Box
This item ships FREE *
Item # 901-CMS12LC250
Model # CMS12LC250
ComplyRight CMS-1500 Health Insurance Claim Form (02/12), 1000/Carton (CMS12LC1)

ComplyRight CMS-1500 Health Insurance Claim Form (02/12), 1000/Carton (CMS12LC1)

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
The most significant change was the addition of 8 diagnosis codes in field 21
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
$49.99 Carton
This item ships FREE *
Item # 901-CMS12LC1
Model # CMS12LC1
TOPS® Double Window Tax Form Envelope, White, 9 x 5 5/824/Pack (2219R)

TOPS® Double Window Tax Form Envelope, White, 9 x 5 5/824/Pack (2219R)

White, security tinted, double window tax form envelope.
Double window design displays both employer and employee name and address. Security tinting ensures contents remain confidential.
Brand: TOPS®
$21.59 Pack
This item ships FREE *
Item # 901-TOP2219R
Model # 2219
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 500/Box
$29.99 Pack
This item ships FREE *
Item # 901-CMS12LC500
Model # CMS12LC500
ComplyRight TaxRight 2021 1099-MISC 4-Part Laser Tax Form Kit with Software and Envelopes, 10/Pack (

ComplyRight TaxRight 2021 1099-MISC 4-Part Laser Tax Form Kit with Software and Envelopes, 10/Pack (SC6103ES10)

Please note that Form 1099-MISC is no longer used for Non-Employee Compensation as of 2020
Includes TFP Software and FREE e-file for 5 forms
Comes with 10 1099-MISC (4-part) laser forms, 10 self-seal envelopes and three 1096 transmittal forms
$26.99 Each
This item ships FREE *
Item # 901-24199726
Model # SC6103ES10