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Page 4 of paris health insurance claim forms

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All filters 2249 items found
Adams Last Will & Testament, Forms & Instructions (LF235/ALFP117)Adams Last Will & Testament, Forms & Instructions (LF235/ALFP117)
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Adams Last Will & Testament, Forms & Instructions (LF235/ALFP117)
Item #: 901-571355
(9)
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
$11.99
Per each
Add to cart
Earn 11 points
Free delivery w/ $25+
Custom Carbonless 2-Part Forms, 8-1/2 x 11, 2 Standard Inks, 250 Sets per PackCustom Carbonless 2-Part Forms, 8-1/2 x 11, 2 Standard Inks, 250 Sets per Pack
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Custom Carbonless 2-Part Forms, 8-1/2" x 11", 2 Standard Inks, 250 Sets per Pack
Item #: 901-QFNL2P1S2R
Item #: 901-QFNL2P1S2R
Pricing details
Design your own forms using your own artwork
8-1/2" W x 11" L
2-part, white/canary, carbonless
$91.99
1 pack
Save 46%
$48.99
20+ pack
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Earn 91 points
Free delivery
Custom Carbonless 3-Part Forms, 5-1/2 x 8-1/2, 250 Sets per Pack
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Custom Carbonless 3-Part Forms, 5-1/2" x 8-1/2", 250 Sets per Pack
Item #: 901-QFNM3P1S1R
(1)
Item #: 901-QFNM3P1S1R
Pricing details
Design your own forms using your own artwork
5-1/2" W x 8-1/2" L
3-part, white/canary/pink, carbonless
$53.99
1 pack
Save 38%
$32.99
20+ pack
Customize
Earn 53 points
Free delivery
Medical Arts Press® Dental Registration and History Form; Purple and Teal DesignMedical Arts Press® Dental Registration and History Form; Purple and Teal Design
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Medical Arts Press® Dental Registration and History Form; Purple and Teal Design
Item #: 901-20579
Item #: 901-20579
$25.99
Per pack
Add to cart
Earn 25 points
Free delivery
TOPS 2023 W-2 Tax Form, 1-Part, 2-Up, 100/Pack (BLW2Q)
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TOPS 2023 W-2 Tax Form, 1-Part, 2-Up, 100/Pack (BLW2Q)
Item #: 901-5207
(6)
Item #: 901-5207
W-2 or 1099 - 1 part cut sheet laser blank front & back
2-up version
Laser printer compatible
$17.59
1-6 pack
Save 4%
$16.79
7+ pack
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Earn 17 points
Free delivery w/ $25+
Bill Of Lading, short forms, 4 PartBill Of Lading, short forms, 4 Part
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Tops® Snap-Off® Bill Of Lading, Short Forms, 4 Part, 8-1/2" x 7"
Item #: 901-377684
(2)
Item #: 901-377684
For shipping nonhazardous or hazardous materials
Four-part carbonless (all parts white)
All parts numbered
$34.99
Per box
Add to cart
Earn 34 points
Free delivery
Medical Arts Press® Patient Information Update FormMedical Arts Press® Patient Information Update Form
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Medical Arts Press® Patient Information Update Form
Item #: 901-39072
(1)
Item #: 901-39072
Use with every patient
Printed on 24-lb. bond paper
Size: 8-1/2-in. x 11-in
$72.99
1 pack
Save 8%
$66.99
2+ pack
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Earn 72 points
Free delivery
Medical Arts Press® Dental Treatment Consent Form; 1-SidedMedical Arts Press® Dental Treatment Consent Form; 1-Sided
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Medical Arts Press® Dental Treatment Consent Form; 1-Sided
Item #: 901-20606
Item #: 901-20606
Provides your patient complete information about their treatment and its risks
Obtains written consent for your records
Just check off applicable conditions; patient reads explanation, initials and signs
$45.99
1 pack
Save 8%
$41.99
2+ pack
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Earn 45 points
Free delivery
ComplyRight Payroll Change Notice Forms (AR0394)
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ComplyRight Payroll Change Notice Forms (AR0394)
Item #: 901-712138
Item #: 901-712138
Ensures all employees have updated, current payroll records
Size: 8 1/2" X 11"
50 per pack
$55.99
Per pack
Add to cart
Earn 55 points
Free delivery
Rediform Money Receipts Collection Forms, Carbonless, 3 Parts, 2 3/4 x 7 (8L802)Rediform Money Receipts Collection Forms, Carbonless, 3 Parts, 2 3/4 x 7 (8L802)
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Rediform Money Receipts Collection Forms, Carbonless, 3 Parts, 2 3/4" x 7" (8L802)
Item #: 901-609032
Item #: 901-609032
Size: 2 3/4" x 7"
50 forms per book
1 form per page
$22.99
Per each
Add to cart
Earn 22 points
Free delivery w/ $25+
Medical Arts Press® Chiropractic Registration and History Forms, BotanicalMedical Arts Press® Chiropractic Registration and History Forms, Botanical
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Medical Arts Press® Chiropractic Registration and History Forms, Botanical
Item #: 901-15164
Item #: 901-15164
Improved forms ensure reimbursement, improve risk management and document your clinical process
Areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness, severity, onset, effect on daily activities, constancy and progression of symptoms
HIPAA-compliant insurance authorization
$79.99
1 pack
Save 6%
$74.99
2+ pack
Add to cart
Earn 79 points
Free delivery
Custom Multi-Purpose Register Form, Classic Design, Small Format, 2 Parts, 1 Color Printing, 4 x 6
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Custom Multi-Purpose Register Form, Classic Design, Small Format, 2 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D6092
(1)
Item #: 901-D6092
Pricing details
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Compatible with 4 x 6" portable registers
7 lines enable most orders to fit on a single form
$76.99
1 pack
Save 20%
$60.99
20 pack
Customize
Earn 76 points
Free delivery
Medical Arts Press® Comprehensive Examination FormMedical Arts Press® Comprehensive Examination Form
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Medical Arts Press® Comprehensive Examination Form
Item #: 901-21700
(1)
Item #: 901-21700
4-page document records clinical detail from a patient's comprehensive exam
Includes sections to record results from clinical tests
Includes top 25 ortho/neuro tests
$66.99
Per pack
Add to cart
Earn 66 points
Free delivery
Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
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Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
Item #: 901-33018
Item #: 901-33018
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$24.59
Per pack
Add to cart
Earn 24 points
Free delivery w/ $25+
Adams 2023 1099-DIV Tax Forms, 5-Part, 10/Pack (STAX5DV-23)Adams 2023 1099-DIV Tax Forms, 5-Part, 10/Pack (STAX5DV-23)
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Adams 2023 1099-DIV Tax Forms, 5-Part, 10/Pack (STAX5DV-23)
Item #: 901-24564841
(1)
Item #: 901-24564841
Use Form 1099-DIV to report gross dividends and other distributions; now a continuous-use form with a fill-in-the-year date field good for multiple tax years; the previously unnumbered FATCA box is now box 11 on the 1099-DIV and remaining boxes have
been renumbered ...
For paper filers, the 2023 1099-DIV (copy B) is due to your recipients by January 31, 2024; Copy A and 1096 are due 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 certa ...
$24.99
Per pack
Add to cart
Earn 24 points
Free delivery w/ $25+
ComplyRight Employee Separation Forms (AR0373)
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ComplyRight Employee Separation Forms (AR0373)
Item #: 901-712163
Item #: 901-712163
50 Pack
Size: 81/2” x 11”
8 1/2" x 11"
$44.99
Per pack
Add to cart
Earn 44 points
Free delivery
Adams 2022 1099-NEC Tax Form, 5-Part, 50/Pack (STAX550NEC-22)Adams 2022 1099-NEC Tax Form, 5-Part, 50/Pack (STAX550NEC-22)
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Adams 2022 1099-NEC Tax Form, 5-Part, 50/Pack (STAX550NEC-22)
Item #: 901-24530916
(18)
Item #: 901-24530916
Use the form 1099-NEC to report nonemployee compensation paid to independent contractors
Must be mailed or e-Filed to the IRS and furnished to your recipients by January 31, 2023
Five-part 1099-NEC forms print three to a page on 17 microperforated sheets with Copies A, C/1, B, 2, and C/1
$40.99
Per pack
Add to cart
Earn 40 points
Free delivery
Custom Multi-Purpose Register Form, Classic Design, Small Format, 3 Parts, 1 Color Printing, 4 x 6Custom Multi-Purpose Register Form, Classic Design, Small Format, 3 Parts, 1 Color Printing, 4 x 6
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Custom Multi-Purpose Register Form, Classic Design, Small Format, 3 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D6093
Item #: 901-D6093
Pricing details
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Compatible with 4 x 6" portable registers
7 lines enable most orders to fit on a single form
$102.99
1 pack
Save 29%
$72.99
20 pack
Customize
Earn 102 points
Free delivery
Custom 1-Sided Insurance Registration Forms, 8-1/2 x 11, 250 Sheets per Pack
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Custom 1-Sided Insurance Registration Forms, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFN105011R
Item #: 901-QFN105011R
Pricing details
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
$72.99
1 pack
Save 42%
$41.99
20+ pack
Customize
Earn 72 points
Free delivery
Out of stock
TOPS 2023 1099-NEC Tax Form, 4-Part, 50/Pack (6103NECQ)
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TOPS 2023 1099-NEC Tax Form, 4-Part, 50/Pack (6103NECQ)
Item #: 901-6103NECQ
(8)
Item #: 901-6103NECQ
Form 1099-NEC records all nonemployee compensation to the IRS and recipients, replacing Box 7 on the 1099-MISC
The 2023 1099-NEC must be mailed or e-filed to the IRS and furnished to your recipients by February 1, 2024
4-Part 1099-NEC forms print 3 to a page; includes 17 micro perforated sheets for each of copy A and B and 34 micro perforated sheets of Copy C to be used as Payer, State or Copy 2 copies
$57.99
1-3 pack
Save 13%
$49.99
4+ pack
Notify me
Earn 57 points
Out of stock
TOPS 2023 W-2 Tax Form, 4-Part, 100/Pack (LW24UPB100)
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TOPS 2023 W-2 Tax Form, 4-Part, 100/Pack (LW24UPB100)
Item #: 901-5209
(28)
Item #: 901-5209
W-2 Tax Forms for every employer with one or more employees to report employee wages, tips, Federal Income and Social Security Tax withheld by the Federal Government
1 part blank front with Copies B & C Backers
Printed in black ink
$32.99
1-5 pack
Save 9%
$29.99
6+ pack
View substitute
Notify me
Earn 32 points
Out of stock
Adams 2023 1096 Summary Tax Forms, 10/Pack (STAX1096-23)Adams 2023 1096 Summary Tax Forms, 10/Pack (STAX1096-23)
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Adams 2023 1096 Summary Tax Forms, 10/Pack (STAX1096-23)
Item #: 901-24564849
(7)
Item #: 901-24564849
Use Form 1096 to submit the totals from information returns 1097, 1098, 1099, 3921, 3922, 5498, and W-2G to the IRS
A 1096 summary transmittal form must accompany each type of 1099 mailed to the IRS—due dates will vary by form; New IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Try the new Adams Tax Forms Helper to eFile to the IRS
/SSA! ...
$10.99
1-3 pack
Save 3%
$10.59
4+ pack
Notify me
Earn 10 points
Out of stock
TOPS 2023 1099 Tax Form, 1-Part, 100/Pack (LB1099NB34)
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TOPS 2023 1099 Tax Form, 1-Part, 100/Pack (LB1099NB34)
Item #: 901-5174
(1)
Item #: 901-5174
1099 Tax Form laser cut sheet with blank front and back with 1/2" right stub
Use with 1099 Tax Forms
Laser printer compatible
$14.79
1-8 pack
Save 5%
$13.99
9+ pack
Notify me
Earn 14 points
Out of stock
Adams 2023 1099-INT Tax Forms with Self Seal Envelopes, 5-Part, 12/Pack (STAX5INT-23)Adams 2023 1099-INT Tax Forms with Self Seal Envelopes, 5-Part, 12/Pack (STAX5INT-23)
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Adams 2023 1099-INT Tax Forms with Self Seal Envelopes, 5-Part, 12/Pack (STAX5INT-23)
Item #: 901-24564834
(3)
Item #: 901-24564834
Use Form 1099-INT to report interest income to the Internal Revenue Service and your recipients; now a continuous-use form with a fill-in-the-year date field good for multiple tax years
For paper filers, the 2023 1099-INT (copy B) is due to your recipients by January 31, 2023; 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
forms; Try the new Adams Tax Forms Helper to eFile to the IRS/SSA ...
$27.99
Per pack
Notify me
Earn 27 points
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5% off everyday low prices
Sales not included
Plus, save an additional 5% off our best 10-ream paper price
Earn 10% more points for every $1 spent
Exclusive Rewards+ offers
Site-wide price match
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Receive 30 extra days to use your points
Disclaimer
Offers and discounts exclude HP,Samsung and Epson. We offer a worry-free enrollment guarantee - if you are not satisfied with your Rewards+ membership, you can cancel at any time for a prorated refund. By enrolling into the Reward+ program, you are agreeing to the Terms and Conditions.
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