Forms
CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose 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.
Merchant: The Nerds
Style-A Aluminum Forms Holder
Sale Price: $28.99*
Retail: $33.60 (14% off!)
(Betty Mills Janitorial Products)
Style-A Aluminum Forms Holder • For outdoor or indoor use Holds up to 30 three-part forms. Hinged writing plate folds under top form for hard writing surface. Fold plate over forms to protect them when not writing. 1/2" clip capacity.
Merchant: Betty Mills Janitorial Products
Style-A Aluminum Forms Holder
Sale Price: $33.29*
Retail: $38.65 (14% off!)
(Betty Mills Janitorial Products)
Style-A Aluminum Forms Holder • For outdoor or indoor use Holds up to 30 three-part forms. Hinged writing plate folds under top form for hard writing surface. Fold plate over forms to protect them when not writing. 1/2" clip capacity.
Merchant: Betty Mills Janitorial Products
A-holder form holder, aluminum, 8-1/2 x 12 form size
Keep forms and information safe and sound. Hinged writing plate conceals confidential documents and prevents write-through onto other forms. Fold plate over forms to protect them when not writing. Storage compartment holds up to 30 three-part forms. Latch keeps lid tightly closed.
Merchant: The Nerds
W-4 Employee Withholding Allowance Certificate Form
Sale Price: $3.31*
Retail: $3.80 (13% off!)
(Betty Mills Janitorial Products)
W-4 Employee Withholding Allowance Certificate Form Determines withholding allowance. Bottom section detaches from form for recordkeeping.
Merchant: Betty Mills Janitorial Products
TOPS(R) 1096 2-Part Continuous Form
Price: $30.99*
(Office Depot, Inc)
This 1096 (Annual Summary and Transmittal of U.S. Information Returns) 2-part continuous form is used for transmittal and summary of 1098 1099 and 5498 forms, when the forms are submitted on paper to the IRS.
Merchant: Office Depot, Inc