Page 3 of Forms
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ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
Item #: 901-24602229
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$14.29
Per each
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (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
$115.39
Per pack
ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
Item #: 901-24602228
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$42.89
1-2 each
Save 9%
$38.99
3+ each
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
Item #: 901-24617599
Patient Bilingual Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
$123.49
Per pack
Rediform 3-Part Carbonless Receipts, 4-1/4" x 6-3/8", 50 Sets/Book (RED5L528)
Item #: 901-2658698
All forms contain space for important information essential to a business operation
Carbon coating on back of each original transfers to duplicate copies without having to transfer carbon sheets
Detachable
$25.09
Per each
Custom Florist Register Form, Classic Design, Large Format, TAX. DEL., 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D6722B
Multiple layout options: Choice of different layouts for tax and delivery options - Layout A: Del, Tax, Layout B: Tax, Del, Layout C: Blank, Layout D: Tax
Compatible with our registers
Additional customization options include imprinting your custom logo
Custom Florist Register Form, Classic Design, Large Format, TAX. DEL., 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D6723B
Multiple layout options: Choice of different layouts for tax and delivery options - Layout A: Del, Tax, Layout B: Tax, Del, Layout C: Blank, Layout D: Tax
Compatible with our registers
Additional customization options include imprinting your custom logo
ComplyRight 2025 Time Off Request and Approval Form, 2-Part, 50 Forms/Pack (A0030)
Item #: 901-24202397
Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
$94.89
1-2 each
Save 18%
$76.99
3+ each
ComplyRight 2025 Time Off Request and Approval Form, 2-Part, 50 Forms/Pack (A0045)
Item #: 901-24202398
Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
$93.89
1-4 each
Save 17%
$76.99
5+ each
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
$86.79
Per pack
Adams 2023 1098 Mortgage Interest Statement Tax Forms with Self Seal Envelopes, 3-Part, 12/Pack (STAX1098-23)
Item #: 901-24564836
Use Form 1098 to report mortgage interest of $600 or more received during the year in the course of trade or business from an individual, including a sole proprietor
For paper filers, the 2023 1098 (copy B) is due to your recipients by January 31, 2024; mail Copy A and 1096 to the IRS by February 28, 2024; or eFile by April 1, 2024; New IRS eFile regulations require e-Filing for 10 or more returns of certain form
s; Try the new Adams Tax Forms Helper to eFile to the IRS/SSA ...
s; Try the new Adams Tax Forms Helper to eFile to the IRS/SSA ...
$30.59
Per pack
ComplyRight Employee Warning Notice Forms, 50/Pack (AR0395)
Item #: 901-712137
Plus, this handy form includes space for employee and supervisor signatures.
50 Pack
Size: 81/2” x 11”
$43.99
Per pack
Adams 3-Part Carbonless Contractor Proposal Forms, 8.5" x 11.44", 50 Sets/Book (NC3819)
Item #: 901-448251
Contractor's proposal forms include space for total cost and terms of payment
Form size: 11.44"L x 8.5"W
Three-part carbonless (white, canary, and pink paper sequence)
$12.99
Per each
Adams Quitclaim, Deed, Form and Instructions, 8.5" x 11", 4 Sets/Book (LF298)
Item #: 901-571321
The quitclaim deed form is simple to use, easy to understand; enables you to file a transfer of ownership on a property
Form size: 11"L x 8.5"W
Form duplicate: carbon; comes in white
$8.79
1-2 each
Save 14%
$7.49
3+ each
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #: 901-398021
Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
Complies with HIPAA’s authorization requirements
Size: 8 1/2" x 11"
$64.29
Per pack
Adams Last Will & Testament, Forms & Instructions (LF235/ALFP117)
Item #: 901-571355
Last Will & Testament details your assets and the beneficiaries who will receive them
Form size: 11"L x 8.5"W
Comes in white
$10.19
Per each
Adams 3-Part Carbonless Contractors Invoice Forms, 8.5"W x 11.44"L, 100/Pack (ABF NC3822)
Item #: 901-468744
Business form type: contractor invoice
Form size: 11.44"L x 8.5"W
Features a carbonless 3-part format and comes in white
$19.99
Per pack
TOPS 2-Part Money/Rent Receipt Book, 5.37" x 2.75", White, 50 Forms (46820)
Item #: 901-745091
5 3/8" x 2 3/4"
50 ruled forms
1 form per page
$10.19
1-6 each
Save 5%
$9.59
7+ each
ComplyRight 2024 1099-INT Tax Form, 1-Part, 2-Up, Copy B, 50/Pack (512150)
Item #: 901-24507970
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)
Recipient Copy B, 2-Up
1 Page Equals 2 Forms
$35.69
1-2 each
Save 21%
$27.99
3+ each
Money Receipt Forms, Carbonless, 3 Part, Hard Cover, 2-3/4" x 7", 200 Sets/Book (RED8L818)
Item #: 901-864876
Duplicates print black
NOTE ON NUMBERED FORMS: Sorry, but we are unable to fill requests for a specific number series
Safety tint on original rubs off if erased
$59.19
1-4 each
Save 18%
$47.99
5+ each
ComplyRight 2024 1099-INT Tax Form, 1-Part, 2-Up, Copy C, 50/Pack (512250)
Item #: 901-24507942
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)
Payer Copy C and/or State, 2-Up
1 Page Equals 2 Forms
$26.49
1-2 each
Save 14%
$22.59
3+ each
Custom Carbonless 2-Part Forms, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFNL2P1S1R
Design your own forms using your own artwork
8-1/2" W x 11" L
2-part, white/canary, carbonless
ComplyRight 2024 1099-DIV Tax Form, 1-Part, 2-Up, Recipient Copy B, 50/Pack (513150)
Item #: 901-24507951
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. ...
Recipient Copy B, 2-Up
$36.69
Per each
TOPS 2023 1099-R Tax Form, 1-Part, Federal Copy A, 50/Pack (LRFEDA-S)
Item #: 901-920103
1099R Tax Forms for Distributions From Pensions, Annuities, etc. are used to report distributions from annuities, profit-sharing plans, retirement plans, IRAs, insurance contracts, or pensions.
1 part Federal Copy A laser cut sheet form
Laser/inkjet printer compatible
$18.39
1-3 pack
Save 7%
$16.99
4+ pack
