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(12 items found)
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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
Item #: 901-QFW1471701
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
$296.99
1 pack
Save 27%
$214.99
8+ pack
Custom Carbonless CMS Forms, 8-1/2 x 11, 100 Sheets per Pad
Custom Carbonless CMS Forms, 8-1/2" x 11", 100 Sheets per Pad
Item #: 901-QFW1471901
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
1-part, white, carbonless; carbon paper is required for duplicates
$26.99
5 pad
Save 27%
$19.59
25+ pad
Custom Graph Papers, Pro-Sketch, 1/8, Padded, 1 Parts, 1 Color Printing, 8 1/2 X 11 ,500/Pack
Custom Graph Papers, Pro-Sketch, 1/8", Padded, 1 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D2071
Get the details: Lines at top of each sheet to list project dates & details
Stay organized: 50 sheets per pad; ruled in 1/8" non reproducing blue grid when copied
Numbering not available
$157.99
1 pack
Save 43%
$89.99
16 pack
Custom Bills of Lading - Small Carbonless, 3 Parts, 1 Color Printing, 8 1/2 x 7, 250/Pack
Custom Bills of Lading - Small Carbonless, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D62053
Meets regulations. These forms meet all D.O.T. and I.C.C. regulations. Please note: For Non-Hazmat shipments only
Get the details: 6 description lines
Consecutively numbered for easy recordkeeping
$185.99
1 pack
Save 52%
$87.99
16 pack
Custom Bills of Lading - Small Carbonless, 4 Parts, 1 Color Printing, 8 1/2 x 7, 250/Pack
Custom Bills of Lading - Small Carbonless, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D62054
Meets regulations. These forms meet all D.O.T. and I.C.C. regulations. Please note: For Non-Hazmat shipments only
Get the details: 6 description lines
Consecutively numbered for easy recordkeeping
$216.99
1 pack
Save 52%
$102.99
16 pack
2003, 2004, 2006 & 2012 ADA Dental Window Claim Envelopes, Peel & Seel, Tinted, Non-Pers., 500/Box (2003, 2004, 2006 & 2012 ADA Dental Window Claim Envelopes, Peel & Seel, Tinted, Non-Pers., 500/Box (
2003, 2004, 2006 & 2012 ADA Dental Window Claim Envelopes, Peel & Seel, Tinted, Non-Pers., 500/Box (88532)
Item #: 901-35287NI
Designed for Use with Medical Arts Press Dental Claim Form
24 Lbs. White-Wove Stock with Security Tint
Convenient Closure Makes Sealing Jobs Quick and Easy
$49.99
Per box
Out of stock
ComplyRight® 2023 1098 Tax Form Set with Envelopes, 3-Part, Copies A, B, C and/or State, 2-Up, 10/Pa
ComplyRight® 2023 1098 Tax Form Set with Envelopes, 3-Part, Copies A, B, C and/or State, 2-Up, 10/Pack (6108E10)
Item #: 901-24507908
Form 1098 is used by taxpayers to report the amount of interest and related expenses paid on a mortgage during the tax year ($600 or more).
3-Part Tax Form Set with Envelopes
1 Page Equals 2 Forms
$36.99
Per each
Out of stock
ComplyRight® 2023 W-3 Transmittal Of Income And Tax Statement Tax Form, 10/Pack (520010)
ComplyRight® 2023 W-3 Transmittal Of Income And Tax Statement Tax Form, 10/Pack (520010)
Item #: 901-24507958
W-3 summary transmittal form is used to report total annual earnings, Social Security wages, Medicare wages, and withholding for all your employees to the Social Security Administration.
Transmittal Form
1 Page Equals 1 Form
$14.59
Per each
Out of stock
ComplyRight® 2023 1096 Annual Transmittal For U.S. Information Returns Tax Form, 10/Pack (510010)
ComplyRight® 2023 1096 Annual Transmittal For U.S. Information Returns Tax Form, 10/Pack (510010)
Item #: 901-24507945
Use form 1096 to submit the totals from information returns to the Internal Revenue Service.
Transmittal Form
1 Page Equals 1 Form
$18.99
Per each
Out of stock
ComplyRight® 2023 1096 Annual Transmittal For U.S. Information Returns Tax Form, 25/Pack (510025)
ComplyRight® 2023 1096 Annual Transmittal For U.S. Information Returns Tax Form, 25/Pack (510025)
Item #: 901-24507927
Use form 1096 to submit the totals from information returns to the Internal Revenue Service.
Transmittal Form
1 Page Equals 1 Form
$29.99
Per each
Out of stock
ComplyRight 2023 1095-B/1095-C Tax Form with Printed Backer Instructions, 500/Pack (PS1095BC500BLK)ComplyRight 2023 1095-B/1095-C Tax Form with Printed Backer Instructions, 500/Pack (PS1095BC500BLK)
ComplyRight 2023 1095-B/1095-C Tax Form with Printed Backer Instructions, 500/Pack (PS1095BC500BLK)
Item #: 901-24578204
File the 2023 Form 1095-B/1095-C according to the printed backer instructions
500 tax forms per pack
Easy-fold blank tax form with pressure seal
$109.00
Per each
Out of stock
ComplyRight 2023 1095-B/1095-C Tax Form with Printed Backer Instructions, 100/Pack (1095BCBLK)ComplyRight 2023 1095-B/1095-C Tax Form with Printed Backer Instructions, 100/Pack (1095BCBLK)
ComplyRight 2023 1095-B/1095-C Tax Form with Printed Backer Instructions, 100/Pack (1095BCBLK)
Item #: 901-24578206
File the 2023 Form 1095-B/1095-C according to the printed backer instructions
100 tax forms per pack
Blank tax form with pressure seal
$133.99
Per each
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