Wilmer Compatible Filing Product Catalog

PRESCRIPTION PAD PROGRAM

Standard - Secure Green Security Features: Chemical Protection Paper, Scallop Void Pantograph, Green Background, Security Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid Compliant . Standard - Secure Green Item No. Size Parts Quantity PRES1GNH 5 1 ⁄ 2 ˝w x 4 1 ⁄ 4 ˝h 1 100 Per Pad PRES1GNV 4 1 ⁄ 4 ˝w x 5 1 ⁄ 2 ˝h PRES2GNH 5 1 ⁄ 2 ˝w x 4 1 ⁄ 4 ˝h 2 50 Sets Per Book PRES2GNV 4 1 ⁄ 4 ˝w x 5 1 ⁄ 2 ˝h 1-part, order in multiples of 4. 1-part consecutive numbering, order in multiples of 8. 2-part, order in multiples of 9. PRES1GNH Standard - Secure Blue Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background, Security Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid Compliant PRES2GNV

Standard - Secure Blue Item No. Size

Parts

Quantity

1-part, order in multiples of 4. 1-part consecutive numbering, order in multiples of 8. 2-part, order in multiples of 9.

PRES1BLH 5 1 ⁄ 2

˝w x 4 1 ⁄ 4 ˝w x 5 1 ⁄ 2 ˝w x 4 1 ⁄ 4 ˝w x 5 1 ⁄ 2

˝h ˝h ˝h ˝h

1

100 Per Pad

PRES1BLV

4 1 ⁄ 4

PRES2BLH 5 1 ⁄ 2

2

50 Sets Per Book

PRES2BLH

PRES2BLV

4 1 ⁄ 4

PRES2BLV

Laser Rx Stock* High Security Features: Scallop Void Pantograph, Blue or Green Background, Rx Thermochromic Ink, Microprinting in Security Feature Listing in Border Line, Chemical Protection Paper, Artificial Watermark, Invisible Fluorescent Fibers, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid Compliant.

PRESBLHLBL

PRESLBL2

PRESLBL

PRESLBL4

NEW!

Custom runs can be quoted to incorporate other states standards.

* Not for use in DE, NJ or WA for any prescriptions. Not for use in CA, IN, KY or WV for controlled substance prescriptions. Imprint packaged in 250’s. Medium Security Features: Scallop Void Pantograph, Blue Background, Rx Thermochromic Ink, Microprinting in Security Feature Listing in Border Line, Artificial Watermark, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid Compliant. Low Security Features: Scallop Void Pantograph, Blue Background, Microprinting in Security Feature Listing in Border Line, Artificial Watermark, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid Compliant. NEW!

Standard - Bond Paper Standard Bond Paper Item No.

Size

Parts

Quantity

PRES1WHHBD-White PRES1BLHBD-Blue PRES1CANHBD-Canary PRES1GNHBD-Green PRES1PNKHBD-Pink PRES1WHVBD-White PRES1BLVBD-Blue PRES1CANVBD-Canary PRES1GNVBD-Green PRES1PNKVBD-Pink

24# Plain Bond Paper Paper Color Options: White, Blue, Green, Pink, Canary

5 1 ⁄ 2

˝w x 4 1 ⁄ 4

˝h 1-part Only 100 Per Pad

PRES1WHHBD

PRES1PNKVBD

4 1 ⁄ 4

˝w x 5 1 ⁄ 2

˝h 1-part Only 100 Per Pad

3

PRESCRIPTION PADS

Prescription Pad Program

California

Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background, California Security Prescription Watermark on Back, Preprinted Prescriber Information, Batch & Consecutive Numbering, Rx Thermochromic Ink, License and DEA Numbers, Reverse Rx, Microprinting in Signature Line, Format and Size Requirements, Watermark in Coin Reactive Ink, Printed Security Feature listing. Ask our customer service about institutional style.

PRESCA2BLM

PRESCA1BL

PRESCA1BLI

PRESCA1BLANK

California Laser Rx Paper Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background, California

Security Prescription Watermark on Back, Preprinted Prescriber Information, Batch & Consecutive Numbering, Rx Thermochromic Ink, License and DEA Numbers, Reverse Rx, Microprinting in Signature Line, Watermark in Coin Reactive Ink, Printed Security Feature listing.

California Laser Rx Paper Item No.

COLOR Perforation Positions Quantity

PRESCABLBLI

Blue Blue Blue

Horizontal & Vertical Horizontal & Vertical Horizontal & Vertical

PRESCALBLI*

250/Pkg

PRESCALBLI PRESCASHBLBLI

PRESCABLBLI*

PRESCASHBLBLI

Delaware Security Features: Chemical Void Paper, Scallop Void Pantograph, Blue Background, Delaware Security Prescription Watermark on Back, Preprinted Prescriber Information, Consecutive Numbering, Rx Thermochromic Ink, Microprinting in Border Lines, Watermark in Coin Reactive Ink, Printed Security Feature listing.

Delaware Item No. PREDE1BLH PRESDE1BLV

Quantity

Size

Parts

5 1 ⁄ 2 4 1 ⁄ 4

˝w x 4 1 ⁄ 4 ˝w x 5 1 ⁄ 2 ˝w x 4 1 ⁄ 4 ˝w x 5 1 ⁄ 2

˝h ˝h ˝h ˝h

1 1 2 2

100 Per Pad 100 Per Pad

PRESDE2BLHNO 5 1 ⁄ 2 PRESDE2BLVNO 4 1 ⁄ 4

50 Sets / Book 50 Sets / Book

PRESDE2BLHNO

PRESDE2BLVNO

Delaware Laser Rx Paper Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background,Delaware Security Prescription Watermark on Back, Consecutive Numbering, Rx Thermochromic Ink, Microprinting Security Feature Listing in Border Lines, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid Compliant!

Delaware Laser Rx Paper Item No. COLOR

Quantity

PRESDELBL PRESDELBLI* PRESDELBL2 PRESDELBL2I*

Blue

Blue, Horizontal Perf

250/Pkg

Blue, Horizontal Perf PRESDELBL4 Blue, Horiz. Perf & Vert. Perf PRESDELBL4I* Blue, Horiz. Perf & Vert. Perf

PRESDELBL

PRESDELBL4I

PRESDELBL2

* CA, IN, KY, FL, ME, WV & WY ‑ For controlled substance prescriptions. DE, NJ, WA - For all prescriptions. * Upcharges may apply: Consecutive Numbering, Proofs, Rush delivery.

4

PRESCRIPTION PADS

Prescription Pad Program

Florida Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue or Green Background, Security Prescription Watermark on Back, Preprinted Prescriber Information, WIL Batch Numbering, Rx Thermochromic Ink, License Number, Microprinting in Border Lines, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid & Controlled Substance Approved! Florida Item No. Size Parts Quantity PRES1BLH 5 1 ⁄ 2 ˝w x 4 1 ⁄ 4 ˝h 1 100 Per Pad

PRES2BLH

PRES1GNH PRES1BLV PRES1GNV PRES2BLH PRES2GNH PRES2BLV PRES2GNV

4 1 ⁄ 4

˝w x 5 1 ⁄ 4

˝h

5 1 ⁄ 2

˝w x 4 1 ⁄ 4

˝h

2

50 Sets Per Book

PRES1BLV

4 1 ⁄ 4

˝w x 5 1 ⁄ 4

˝h

PRES2GNH

Indiana Security Features: Chemical Protection Paper, Scallop Void Pantograph, Reflex Blue Background, Indiana Security Prescription Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Reverse Rx Symbol, Format and Size Requirements, Watermark in Coin Reactive Ink, Printed Security Feature listing.

Indiana Item No. PRESIN1BL PRESIN2BL PRESINLBL*

Quantity

Size

Parts

5 1 ⁄ 2 5 1 ⁄ 2

˝w x 4 1 ⁄ 4 ˝w x 4 1 ⁄ 4

˝h ˝h

1 2 1

100 Per Pad

50 Sets Per Book

PRESIN1BL

8 1 ⁄ 2

˝w x 11˝h

500/ Package

PRESINLBL

*

*Packaged in 250’s after imprint.

Kentucky Security Features: Chemical Protection Paper, Scallop Void Pantograph, Pantone Green Background, Kentucky Security Prescription Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Reverse Rx Symbol, Format and Size Requirements, Watermark in Coin Reactive Ink,

Printed Security Feature listing.

Kentucky Item No.

Quantity

Size

Parts

PRESKY1GN

PRESKY1GN 5 1 ⁄ 2 PRESKY2GN 5 1 ⁄ 2 PRESKYLGN* 8 1 ⁄ 2

˝w x 4 1 ⁄ 4 ˝w x 4 1 ⁄ 4

˝h ˝h

1 2 1

100 Per Pad

50 Sets Per Book

PRESKY1GN

˝w x 11˝h

500/ Package

PRESKYLGN

*Packaged in 250’s after imprint.

Maine Security Features: Chemical Protection Paper, Scallop Void Pantograph, Green or Blue Background, Security Prescription Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Format and Size Requirements, Watermark in Coin Reactive Ink, Printed Security Feature listing.

Maine Item No.

Size

Parts

Quantity

PRES1GNH 5 1 ⁄ 2 PRES1BLH 5 1 ⁄ 2 PRES2GNH 5 1 ⁄ 2 PRES2BLH 5 1 ⁄ 2

˝w x 4 1 ⁄ 4 ˝w x 4 1 ⁄ 4 ˝w x 4 1 ⁄ 4 ˝w x 4 1 ⁄ 4

˝h ˝h ˝h ˝h

1

100 Per Pad

PRES2GNH

2

50 Sets Per Book

* CA, IN, KY, FL, ME, WV & WY ‑ For controlled substance prescriptions. DE, NJ, WA - For all prescriptions. * Upcharges may apply: Consecutive Numbering, Proofs, Rush delivery.

5

PRESCRIPTION PADS

Prescription Pad Program

New Jersey

Security Features: Chemical Protection Paper, Flat Screen Void Pantograph with Hollow Void, Green Background on Front, Blue Background on Back, Preprinted Prescriber Information, 15 Digit Identifier, Barcode, New Jersey State Seal, Rx Thermochromic Ink, Microprinting, Security Feature Listing. Medicaid & Controlled Substance Approved!

PRESnj1apnV

PRESnj1eyeV

PRESnj1hcfV

PRESnj1mdV

PRESnj1optV

PRESnj1paV

PRESnj1mwV

New Jersey

New Jersey

Item No.

Item No.

Size

Parts

Quantity

Size

Parts

Quantity

4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2

˝h ˝h ˝h ˝h ˝h ˝h ˝h

1 1 1 1 1 1 1

4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2

˝H ˝H ˝H ˝H ˝H ˝H ˝H

2 2 2 2 2 2 2

PRESNJ1APNV PRESNJ1EYEV PRESNJ1HCFV PRESNJ1MDV PRESNJ1MWV PRESNJ1OPTV PRESNJ1PAV

PRESNJ2APNV PRESNJ2EYEV PRESNJ2HCFV PRESNJ2MDV PRESNJ2MWV PRESNJ2OPTV PRESNJ2PAV

50 Sets / Book

100 / Pad

New Jersey Laser Rx Paper Security Features: Chemical Protection Paper, Flat Screen Void Pantograph with Hollow Void, Green Security Background on front, Blue Background on back, Preprinted Prescriber Information, 15 Digit Identifier, Barcode, New Jersey State Seal, Rx Thermochromic Ink, Microprinting, Security Feature Listing. Medicaid & Controlled Substance Approved!

PRESNJEYELGNI

PRESNJHCFLGNI

PRESNJOPTLGNI

PRESNJMWLGNI

PRESNJMDLGNI

PRESNJAPNLGNI

PRESNJPALGNI

Item No. Color

Item No. Color

Quantity

Quantity

PRESNJMWLGNI PRESNJOPTLGNI Green Front, Blue Back PRESNJPALGNI Horiz. Perf & Vert. Perf

PRESNJAPNLGNI PRESNJEYELGNI Green Front, Blue Back

250/Pkg

250/Pkg

Horiz. Perf & Vert. Perf

PRESNJHCFLGNI PRESNJMDLGNI

Washington

Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background, Preprinted Prescriber Information, Microprinting in Border Line, Printed Security Feature listing. Washington Item No. Size Parts Quantity PRESWA1BLH 5 1 ⁄ 2 ˝w x 4 1 ⁄ 4 ˝h 1 100 Per Pad PRESWA1BLV 4 1 ⁄ 4 ˝w x 5 1 ⁄ 4 ˝h PRESWA2BLH 5 1 ⁄ 2 ˝w x 4 1 ⁄ 4 ˝h 2 50 Sets Per Book PRESWA2BLV 4 1 ⁄ 4 ˝w x 5 1 ⁄ 4 ˝h

PRESWA2BLH

PRESWA1BLV

* CA, IN, KY, FL, ME, WV & WY ‑ For controlled substance prescriptions. DE, NJ, WA - For all prescriptions. * Upcharges may apply: Consecutive Numbering, Proofs, Rush delivery.

6

PRESCRIPTION PADS

Prescription Pad Program

Washington Laser Rx Paper Security Features: Scallop Void Pantograph, Blue Background, WA Thermochromic Seal, Microprinting in Security Feature Listing Border Lines, Chemical Protection Paper, Line Watermark, Invisible Fluorescent Fibers, Printed Security Feature listing. Medicaid Compliant!

Washington Laser Rx Paper Item No. Color

Quantity

PRESWALBL

Blue Blue

PRESWALBL-MM

500/Pkg

PRESWALBL2 Blue, Horizontal Perf PRESWALBL4 Blue, Horiz. Perf & Vert. Perf

PRESWALBL-MM

PRESWALBL4

PRESWALBL

PRESWALBL2

West Virginia Security Features: Chemical Protection Paper, Scallop Void Pantograph, Green Background, Security Prescription Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Reverse Rx Symbol, Format and Size Requirements, Watermark in Coin Reactive Ink, Printed Security Feature listing.

West Virginia Item No. PRESWV1GN 5 1 ⁄ 2

Size

Parts

Quantity

˝w x 4 1 ⁄ 4 ˝w x 4 1 ⁄ 4

˝h ˝h

1 2

100 Per Pad

PRESWV1GN

5 1 ⁄ 2

50 Sets Per Book

PRESWV2GN

Wyoming Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue or Green Background, Security Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, License Number, Watermark in Coin Reactive Ink, Printed Security Feature listing.

Wyoming Item No. PRES1BLH PRES1GNH PRES1BLV PRES1GNV PRES2BLH PRES2GNH PRES2BLV PRES2GNV

Size

Parts

Quantity

5 1 ⁄ 2

˝w x 4 1 ⁄ 4

˝h

1

100 Per Pad

4 1 ⁄ 4

˝w x 5 1 ⁄ 4

˝h

PRES1GNH

PRES2BLH

5 1 ⁄ 2

˝w x 4 1 ⁄ 4

˝h

2

50 Sets Per Book

PRES1BLV

4 1 ⁄ 4

˝w x 5 1 ⁄ 4

˝h

Prescription Thermal Rolls

MEDICAID Compliant Presciption Thermal Rolls

Fight Against Fraud!

Security Features: Flat Screen Void Pantograph, Reverse Rx, Blue Background, Artificial Watermark, Batch Numbering, Thermochromic Ink, Watermark in Coin Reactive Ink, Printed Security Feature listing.

Prescription Thermal Rolls

Item No.

Size

COLOR

Quantity

Specs

Weight Batch

500 Scripts per roll (16 rolls per carton) 500 Scripts per roll (16 rolls per carton)

20#Thermal paper 1-Inch wood core Vertical layout with timing mark 20#Thermal paper 1-Inch wood core Vertical layout with timing mark

Blue Background

4 5 ⁄ 16

˝w x 6˝h

PRESTHERMBL

25 lbs.

Back

Blue Background

PRESTHERMBLFUR 4 5 ⁄ 16

˝w x 6˝h

25 lbs Front

7

HEALTHCARE FORMS

The Health Insurance Portability and Accountability Act (HIPAA) law requires all healthcare professionals to develop policies and procedures limiting access to personal health information without sacrificing the quality of healthcare. Claim Form Examples

WCMS1500CS12

Claim Forms

NLCFUB04

WADA2019CS

Dental Claim Forms

Claim Form Envelope Examples

WADA2002ENVSSI

WADAENVBNI

WHCF15ENVSSI or WHCF15ENVSSPL

WHCF1500ENVSS (PMS 347 Green)

WHCF1500ENVSSBL (PMS 300 BLUE)

WCMENVI

Pre-Inserted Envelopes

WUBENVSS

WHCF10ENV or WHCF10ENVSS

WHCF1500ENVWL (PMS 347 Green)

WHCF10ENVWL or WHCF10ENVWLPL

WHCF1500ENVWLBL (PMS 300 BLUE)

8

HEALTHCARE FORMS

Dental Claim Forms

1-Part Item No.

Description

Paper White White

Size

Color Black

Per carton Weight

Wada2019CS Wada2019csr

Continuous (2019) ADA Laser (2019) Red ADA

8 1 ⁄ 2 8 1 ⁄ 2

˝ x 11˝ ˝ x 11˝

2500 2500

30 Lbs 30 Lbs

OCR Red

2-Part Item No.

Description

Paper

Size

Color Black

Per Carton Weight

Wada20122

Continuous (2012) ADA

White/Canary

9 1 ⁄ 2

˝ x 11˝

1000

22 Lbs

Claim Forms

1-Part Item No.

Description

Paper White White White White White

Size

Color

Per Carton Weight

9 1 ⁄ 2 8 1 ⁄ 2 9 1 ⁄ 2 8 1 ⁄ 2 8 1 ⁄ 2

˝ x 11˝ ˝ x 11˝ ˝ x 14˝ ˝ x 11˝ ˝ x 11˝

OCR Red OCR Red OCR Red OCR Red OCR Red

2500 2500 2500 2500 2500

30 Lbs 30 Lbs 30 Lbs 30 Lbs 27 Lbs

Ccfub041* Nlcfub041*

Continuous Cms-1450

Laser Cms-1450

WCMS1500112

Continuous Cms 1500 (02/12)

WCMS1500CL12 Laser Cms 1500 (Al) (02/12) WCMS1500CS12 Laser Cms 1500 (02/12)

Note: Healthcare claim forms (AL) are designed for use in the state of Alabama with a lower right corner cut. *Revised to include NPI.

2-Part Item No.

Description

Paper

Size

Color

Per Carton Weight

Ccfub042*

Continuous CMS-1450

White/White

9 1 ⁄ 2

˝ x 11˝ ˝ x 11˝ ˝ x 11˝ ˝ x 11˝

OCR Red OCR Red OCR Red OCR Red

1000 1000 1000

22 Lbs 22 Lbs 22 Lbs 11 Lbs

White/Canary 9 1 ⁄ 2

Wcms1500212

Continuous CMS 1500 (02/12)

Wcms15002W12 Continuous CMS 1500 (02/12) Wcms1500U212 Ncr Uniset CMS 1500 (02/12)

White/White

9 1 ⁄ 2

White/Canary 8 1 ⁄ 2

500

Medical Laser Billing Statements

1-Part Item No.

Description

Paper White White White White White

Face Blue Blue

Size

Per Carton Weight

WLCS101-BK

Generic Laser Statements

8 1 ⁄ 2 8 1 ⁄ 2 8 1 ⁄ 2 8 1 ⁄ 2 8 1 ⁄ 2 8 1 ⁄ 2 8 1 ⁄ 2

˝ x 11˝ ˝ x 11˝ ˝ x 11˝ ˝ x 11˝ ˝ x 11˝ ˝ x 11˝ ˝ x 11˝

2000 2000 2000 2000 2000 2000 2000

27 Lbs 27 Lbs 27 Lbs 27 Lbs 27 Lbs 27 Lbs 27 Lbs

WLCS101MC-BK Generic Laser Statements, MC/VISA

WLCS104-BK WLCS105-BK WLCS106-BK WLCS107-BK WLCS108-BK

Generic Laser Statements, MC/VISA/DISC Generic Laser Statements, MC/VISA Generic Laser Statements, MC/VISA/DISC

Burgundy Burgundy

Blue Blue

Generic Laser Statements, MC/VISA/DISC/AMEX White

Generic Laser Statements

White

Burgundy

WLCS105-BK

WLCS107-BK

WLCS101-BK

9

HEALTHCARE FORMS

Patient Sign-In Label Form

Patient Sign-in Label Form

Each patient prints his/her name, appointment time and “Name of Healthcare Professional” on a numbered line. If using the optional numbered label, patient takes the number. The office staff removes the signed name label and either adds to the patient file or to a workflow tracking system. Once the label has been removed, the information is protected behind part one. Available only for office use.

• The front desk attendant calls each patient by name or number. • Each package contains 125 forms, numbered 1 through 25, or enough forms to see 3125 patients. • NEW! Out-0f-Country format

W-PSGN

W-PSGN-BY

Patient Sign-in Label Form Item No. Color Pkg. Qty.

Weight Carton Qty Carton Wht

W-PSGN-GN

W-PSGN

Blue

125 125 125 125 125 125 125

6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs

875 875 875 875 875 875 875

41 Lbs 41 Lbs 41 Lbs 41 Lbs 41 Lbs 41 Lbs 41 Lbs

W-PSGN-BY Burgundy W-PSGN-GN Green W-PSGN-PUR Purple W-PSGN-OR Orange

W-PSGN-PUR

W-PSGN-OR

W-PSGN-BIL

W-PSGN-BIL

Blue

W-PSGN-OOC Blue

W-PSGN-OOC

Confidential Forms

Confidential Sign-In Label Form Item No. Color Pkg. Qty. W-CSGN White/Yellow 125

Weight

Carton Qty Carton Wht

6 Lbs

875

41 Lbs

W-CSGN

3-Part Patient Sign-in System

Each patient prints his/her name, arrival time and “Name of Healthcare Professional” on a numbered slip, then removes it. Once the patient removes the slip, the information is protected behind the carbonless paper available only for office use. • The front desk attendant reads the log and calls each patient by name or number. • Each kit contains 40 sets, numbered 1 through 25, or enough slips to see 1,000 patients. 3-Part Patient Sign-in System

W-SGNKIT (Pegboard Board W1185BL plus 1,000 Patient Slips)

3-Part Patient Sign-in System Item No. Description W-SGNKIT 3-Part Sign-in System 40

Pkg. Qty.

Weight

7 Lbs. 6 Lbs.

W-JSGN Patient Slips

40

W-JSGN (1,000 Patient Slips)

10

HEALTHCARE FORMS

Healthcare Bags

Healthcare Bags Item No.

Description

Color Clear

Size

Per carton

Weight 13 lbs.

w-pvb-10

Patient Valuables Bag - Tamper Evident

10˝ x 13˝

500

W-PVB-10

Valuables Envelope

Valuables Envelope Item No. Color

Size

Per Carton Weight

W-PVE-912

White

8 1 ⁄ 2

˝ x 11 3 ⁄ 8 ˝

500

24 lbs.

W-PVE-912

Visitor Badges

Visitor Badges Item No. W-CSGNIN-BKBL

Label White

Border

Badge Size Qty of Badges

3 1 ⁄ 2

˝ x 2˝

500/Pkg

Blue

W-CSGNIN-BKBL

11

HEALTHCARE ENVELOPES

Claim Form Envelopes

Claim Form Envelopes (24 Lb. White Wove)

Plain/ Imprint Overall Size

Inside Tint Y=Yes N-No

Window Size 4˝ x 1 1 ⁄ 8 ˝ 4˝ x 1 1 ⁄ 8 ˝

From Left

From Bottom

Weight/Box 500/Box

Item No.

Product Description

WADA2002ENVSSI

ADA 2002 Self-Seal Envelope

Imprint

4 1 ⁄ 8

˝ x 8 3 ⁄ 4 ˝ ˝ x 8 3 ⁄ 4 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 2 ˝ ˝ x 4 1 ⁄ 2 ˝

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

1 ⁄ 2 1 ⁄ 2 1 ⁄ 4 1 ⁄ 4 1 ⁄ 4 1 ⁄ 4

˝ ˝ ˝ ˝ ˝ ˝

3 ⁄ 4 3 ⁄ 4 3 ⁄ 4 3 ⁄ 4 3 ⁄ 4 3 ⁄ 4

˝ ˝ ˝ ˝ ˝ ˝

6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs 6 Lbs

WADA2002ENVSSPL ADA 2002 Self-Seal Envelope

Plain 4 1 ⁄ 8 Plain 8 7 ⁄ 8

WCMENVPL WCMENVI

ADA06-UB04 Gum Window Envelope ADA06-UB04 Gum Window Envelope ADA06-UB04 Self-Seal Envelope ADA06-UB04 Self-Seal Envelope

4 1 ⁄ 8 4 1 ⁄ 8 4 1 ⁄ 8 4 1 ⁄ 8

˝ x 7 ⁄ 8 ˝ x 7 ⁄ 8 ˝ x 7 ⁄ 8 ˝ x 7 ⁄ 8

˝ ˝ ˝ ˝

Imprint

8 7 ⁄ 8

WCMENVSSPL WCMENVSSI WHCF10ENV WHCF10ENVPL WHCF10ENVWL WHCF10ENVSS WHCF10ENVSSPL WHCF15ENVSSI WHCF15ENVSSPL WHCF1500ENVSSI

Plain 8 7 ⁄ 8

Imprint Imprint

8 7 ⁄ 8 9 1 ⁄ 2

Gum Window Envelope Gum Window Envelope Self-Seal Window Envelope Self-Seal Window Envelope Self-Seal Window Envelope Self-Seal Window Envelope Self-Seal Window Envelope Self-Seal Window Envelope

4 1 ⁄ 2 4 1 ⁄ 2 4 1 ⁄ 2 4 1 ⁄ 2 4 1 ⁄ 2 4 1 ⁄ 2 4 1 ⁄ 2 4 1 ⁄ 2 4 1 ⁄ 2 4 1 ⁄ 2 4 1 ⁄ 2 4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝

4˝ 4˝ 1˝ 1˝ 4˝ 4˝

1 5 ⁄ 8 1 5 ⁄ 8 1 5 ⁄ 8 1 5 ⁄ 8 1 5 ⁄ 8 1 5 ⁄ 8

˝ ˝ ˝ ˝ ˝ ˝

Plain 9 1 ⁄ 2

Imprint

9 1 ⁄ 2

WHCF10ENVWLPL Self-Seal Window Envelope

Plain 9 1 ⁄ 2

Imprint

9 1 ⁄ 2

Plain 9 1 ⁄ 2

Imprint

9 1 ⁄ 4

5˝ x 1 1 ⁄ 4 ˝ 5˝ x 1 1 ⁄ 4 ˝

3 7 ⁄ 16 3 7 ⁄ 16

˝ ˝

2˝ 2˝

Plain 9 1 ⁄ 4

9˝ x 12 1 ⁄ 2 ˝

4˝ 4˝ 4˝ 4˝

9 15 ⁄ 16 9 15 ⁄ 16 9 15 ⁄ 16 9 15 ⁄ 16 9 15 ⁄ 16 9 15 ⁄ 16 2 11 ⁄ 16 2 11 ⁄ 16 2 11 ⁄ 16 2 11 ⁄ 16

˝ ˝ ˝ ˝ ˝ ˝ ˝ ˝ ˝ ˝

20 Lbs 20 Lbs 20 Lbs 20 Lbs 20 Lbs 20 Lbs

Imprint

WHCF1500ENVSSPL Self-Seal Window Envelope WHCF1500ENVSSBL Self-Seal Window Envelope WHCF1500ENVWLBL Self-Seal Window Envelope WHCF1500ENVWL Self-Seal Window Envelope

Plain 9˝ x 12 1 ⁄ 2 ˝ Plain 9˝ x 12 1 ⁄ 2 ˝ Plain 9˝ x 12 1 ⁄ 2 ˝ Plain 9˝ x 12 1 ⁄ 2 ˝

1 1 ⁄ 4 1 1 ⁄ 4

˝ ˝

WHCF1500ENVWLI

Self-Seal Window Envelope Self-Seal Window Envelope Self-Seal Window Envelope

Imprint

9˝ x 12 1 ⁄ 2 ˝

WUBENVSS WUBENVSSI

Plain

5 7 ⁄ 8 5 7 ⁄ 8 5 7 ⁄ 8 5 7 ⁄ 8

˝ x 9˝ ˝ x 9˝ ˝ x 9˝ ˝ x 9˝

4 1 ⁄ 8 4 1 ⁄ 8 4 1 ⁄ 8 4 1 ⁄ 8

˝ x 7 ⁄ 8 ˝ x 7 ⁄ 8 ˝ x 7 ⁄ 8 ˝ x 7 ⁄ 8

˝ ˝ ˝ ˝

1 ⁄ 4 1 ⁄ 4 1 ⁄ 4 1 ⁄ 4

˝ ˝ ˝ ˝

6 Lbs 6 Lbs 6 Lbs 6 Lbs

Imprint Imprint

wubenvi

Gum Envelope Gum Envelope

WUBENVPL

Plain

Pre-Inserted Envelope Sets

Left Window Envelope Sets

Outer Size Inner Size

Inside Tint Y=Yes N-No

Window Size

From Left

From Bottom

Weight/Box 250/Set

Item No. Product Description

Outer Color / Inner Color IV, WH, GY BL, CAN, GN, GY, IV, WH GY, IV, WH BL, CAN, GN, IV, WH,GY BL, GY, IV, WH BL, CAN, GN, GY, IV, PK, WH

6 5 ⁄ 8 6 1 ⁄ 8 9 1 ⁄ 2 6 1 ⁄ 8 9 1 ⁄ 2 6 1 ⁄ 2 6 1 ⁄ 8 9 1 ⁄ 2 9 1 ⁄ 2 6 1 ⁄ 8 9 1 ⁄ 2 6 1 ⁄ 8 9 1 ⁄ 2

˝ x 4 1 ⁄ 2 ˝ ˝ x 3 9 ⁄ 16 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 9 ⁄ 16 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 7 ⁄ 8 ˝ ˝ x 4 1 ⁄ 2 ˝ ˝ x 3 9 ⁄ 16 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 7 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 9 ⁄ 16 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 9 ⁄ 16 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 7 ⁄ 8 ˝ ˝ x 4 1 ⁄ 2 ˝ ˝ x 3 9 ⁄ 16 ˝

Self-Seal Window / Rl-4618 #6.75 Regular / Ts100-I #10 Self-Seal Window / Rl-4619 #6.75 Regular / Ts100-I #10 Self-Seal Window / Rl-4619 #9 Regular / Ts-9 Self-Seal Window / Wwswe-Ls #6.75 Regular / Ts100-i #10 Gum Window / Wce-8651-D #9 Regular / Ts-9 #10 Gum Window / Wce-8651-D #6.75 Regular / Ts100-i #10 Window / Wce-8651-St #6.75 Regular / Ts100-i #10 Window / Wce-8651-St #9 Regular / Ts-9 Self-Seal Window / Ts-100-O #6.75 Regular / Ts100-i

Y Y Y Y Y Y Y Y N Y N Y Y Y Y Y Y Y

ES1

4˝ x 1 1 ⁄ 16 ˝

1 ⁄ 2

˝

2˝

4.7 Lbs

ES2

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

7 ⁄ 8

˝

1 ⁄ 2

˝

5.5 Lbs

ES3

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

7 ⁄ 8

˝

1 ⁄ 2

˝

6.2 Lbs

8 7 ⁄ 8

WH BL, CAN, GN, IV, WH

ES5

4˝ x 1 1 ⁄ 4 ˝

3 ⁄ 4

˝

1 ⁄ 4

˝

6 Lbs

WH BL, CAN, GN, GY, IV, PK, WH WH BL, CAN, GN, GY, IV, WH

ES6

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

7 ⁄ 8

˝

1 ⁄ 2

˝

6.5 Lbs

8 7 ⁄ 8

ES7

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

7 ⁄ 8

˝

1 ⁄ 2

˝

5.7 Lbs

WH BL, CAN, GY, IV, WH

ES8

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

7 ⁄ 8

˝

1 ⁄ 2

˝

6.4 Lbs

WH BL, CAN, GN, GY, IV, PK, WH BL, GN, IV, WH BL, CAN, GN, GY, IV, WH

ES9

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

7 ⁄ 8

˝

1 ⁄ 2

˝

5.4 Lbs

8 7 ⁄ 8

6 9 ⁄ 16 6 1 ⁄ 8

TS100

4˝ x 1 1 ⁄ 4 ˝

1 1 ⁄ 4

˝

1 3 ⁄ 4

˝

4.5 Lbs

Continued on next page

12

HEALTHCARE ENVELOPES

Pre-Inserted Envelope Sets

Right Window Envelope Sets

Outer Color Inner Color

Inside Tint Y=Yes N-No

Window Size

From Left

From Bottom

Weight/Box 250/Set

Outer Size Inner Size

Item No.

Product Description

#10 Self-Seal Window / Ts-10-Wl #9 Regular / TS-9

BL, WH BL, CAN, GN, GY, IV, PK, WH BL, WH BL, CAN, GN, GY, IV, WH WH BL, CAN, GN, GY, IV, PK, WH WH BL, CAN, GN, GY, IV, WH

9 1 ⁄ 2

˝ x 4 1 ⁄ 8 ˝ ˝ x 3 7 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 9 ⁄ 16 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 7 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 7 ⁄ 8 ˝

Y Y Y Y Y Y Y Y

TS10WLL

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

7 ⁄ 8

˝

5 ⁄ 8

˝

6.5 Lbs

8 7 ⁄ 8

TS10WLLS #10 Self-Seal Window / Ts-10-Wl #6.75 Regular / TS100-I TS10WRLL #10 Self-Seal Window / Ts-10-WR TS-10-WR-WH/TS-9-WH TS10WRLS 10 Self-Seal Window / Ts-10-WR TS-10-WR-WH/TS-100-I-WH

9 1 ⁄ 2 6 1 ⁄ 8 9 1 ⁄ 2

7 ⁄ 8

˝

5 ⁄ 8

˝

4.6 Lbs

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

7 ⁄ 8

˝

5 ⁄ 8

˝

6.5 Lbs

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

8 7 ⁄ 8

9 1 ⁄ 2

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

7 ⁄ 8

˝

5 ⁄ 8

˝

4.6 Lbs

8 7 ⁄ 8

No Window Envelope Sets

Outer Color Inner Color

Outer Size Inner Size

Inside Tint Y=Yes N-No

Weight/Box 250/Set

Item No.

Product Description

9 1 ⁄ 2

˝ x 4 1 ⁄ 8 ˝ ˝ x 3 7 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 9 ⁄ 16 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 3 7 ⁄ 8 ˝

#10 Gum Window / WCE-8650-D #9 Regular / Ts-9t

WH BL, CAN, GN, GY, IV, PK, WH WH BL, CAN, GN, GY, IV, WH WH BL, CAN, GN, GY, IV, PK, WH

N Y Y Y

ES10

5.4 Lbs

8 7 ⁄ 8

TS10NWLS #10 Self-Seal / Ts-10-Nw #6.75 Regular / Ts-100-I TS10NWLL #10 Self-Seal / Ts-10-Nw #6.75 Regular / Ts-100-I

9 1 ⁄ 2 6 1 ⁄ 8 9 1 ⁄ 2 8 7 ⁄ 8

5.3 Lbs

Y

6.4 Lbs

Minimum order is 500 sets (2 boxes of 250 sets). Please specify color of outside and inner envelope when ordering (i.e. TS1000BL/CAN is blue outer with canary inner envelope.

Envelopes Sold Individually

Left Window Envelopes (24 Lb. Wove)

From Left

Plain/ Imprint Imprint

Overall Size

Inside Tint Y=Yes N-No

Window Size 4˝ x 1 1 ⁄ 16 ˝

From Bottom

Item No.

Product Description

Color

6 5 ⁄ 8 9 1 ⁄ 2

˝ x 4 1 ⁄ 2 ˝ ˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 2 ˝

Y Y Y Y Y Y

1 ⁄ 2 7 ⁄ 8 1 ⁄ 2 7 ⁄ 8 7 ⁄ 8

˝ ˝ ˝ ˝ ˝

2˝

RL4618 Self-Seal Window, Side Seam IV, WH

RL4619 #10 Self-Seal Window, Side Seam BL, GY, IV, WH Imprint

4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝

1 ⁄ 2

˝

RL4618PL Self-Seal Window, Side Seam IV, WH

Plain 6 5 ⁄ 8

4˝ x 1 1 ⁄ 16 ˝

2˝

RL4619PL #10 Self-Seal Window, Side Seam BL, GY, IV, WH Plain 9 1 ⁄ 2 ˝ x 4 1 ⁄ 8 ˝

4 1 ⁄ 2 4 1 ⁄ 2

˝ x 1 1 ⁄ 8 ˝ ˝ x 1 1 ⁄ 8 ˝

1 ⁄ 2 5 ⁄ 8

˝ ˝

9 1 ⁄ 2

˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 2 ˝

TS10WL #10 Self-Seal Window, Side Seam BL, WH

Imprint

TS100O Self-Seal Window

BL, GN, IV, WH Imprint

6 9 ⁄ 16

4˝ x 1 1 ⁄ 4 ˝

1 1 ⁄ 4

˝

1 3 ⁄ 4

˝

Right Window Envelopes

From Left

Plain/ Imprint Imprint

Overall Size

Inside Tint Y=Yes N-No

Window Size

From Bottom

Item No.

Product Description

Color

TS10WR #10 Self-Seal Window, Side Seam WH TS10WRPL #10 Self-Seal Window, Side Seam WH

9 1 ⁄ 2

˝ x 4 1 ⁄ 8 ˝ ˝ x 4 1 ⁄ 8 ˝

Y Y

4 1 ⁄ 2 4 1 ⁄ 2

˝ x 7 ⁄ 8 ˝ x 7 ⁄ 8

˝ ˝

4 1 ⁄ 4 4 1 ⁄ 4

˝ ˝

1 1 ⁄ 16 1 1 ⁄ 16

˝ ˝

Plain 9 1 ⁄ 2

No Window Envelopes

Plain/ Imprint Imprint

Overall Size

Inside Tint Y=Yes N-No

Item No.

Product Description

Color

TS100I

Side Seam, Reply

BL, CAN, GN, GY, IV, WH

6 1 ⁄ 8

˝ x 3 9 ⁄ 16 ˝ ˝ x 3 7 ⁄ 8 ˝

Y Y Y

#9 Regular Side Seam, Reply BL, CAN, GN, GY, IV, PK, WH Imprint #9 Regular Side Seam, Reply BL, CAN, GN, GY, IV, PK, WH Plain 8 7 ⁄ 8 ˝ x 3 7 ⁄ 8 ˝ 8 7 ⁄ 8

TS9

TS9PL

9 1 ⁄ 2

˝ x 4 1 ⁄ 8

˝ Y (24# WH Wove)

TS10NW #10 Self-Seal, 24 Lb White Wove WH

Imprint

Please specify color when ordering.

13

COMPATIBLE FILE FOLDERS

11 Pt. File Folders Our durable, high-quality end-tab folders are constructed of heavy-duty manila stock with an undercut tab design. They are ideal for medical, dental, insurance and banking industries. Alignment marks make labeling easy. Fasteners are applied in the correct positions every time. All our end-tab folders are double-ply, with 2˝ bonded fasteners.

Other fastener positions available

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Barkley Item No.

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

100

500 250 250 250

W-1190

Manila

43.0 1190 21.0 1190F6 26.0 1190F26 26.0 1190F36

None

50 50 50

W-1190F6 Manila W-1190F26 Manila W-1190F36 Manila

Position 1

Positions 1 & 3 Positions 3 & 5

Jeter Item No. W-11000 W-11020 W-11035 Smead Item No. W-11200 W-11210 W-11220 W-11235

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

100

500 250 250

Manila Manila Manila

45.0 1050 29.0 1058 29.0 1058

None

RD-Red OR-Orange

50 50

Positions 1 & 3 Positions 3 & 5

BL-Blue

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

GD-Goldenrod

100

500 250 250 250 500 250 250

Manila Manila Manila Manila

42.8 ET2-150L

None

PK-Pink

50 50 50

23.8 2BET2-150L-1

Position 1

26.3 2BET2-150L-1&3 Positions 1 & 3 26.3 2BET2-150L-3&5 Positions 3 & 5

WH-White

GR-Gray

100

W-1500_ _ Choose color W-1501_ _ Choose color W-1502_ _ Choose color

42.8 ET2-150L 23.8 ET2-150L 26.0 ET2-150L

None

50 50

Position 1

YL-Yellow LV-Lavender GN-Green

Positions 1 & 3

Letter-Size, 1/3 Cut, Double-Ply, End Tab (11 3 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

RD-Red OR-Orange

Smead Item No.

Folder Color

Per Carton Lbs./Carton Fastener Position

Per Pkg.

BL-Blue

50

250

W-9042_ _ Choose color

25.0 Positions 1 & 3

GD-Goldenrod

PK-Pink

Letter-Size, 3/4 Cut, End Tab with Built-in Pocket (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

WH-White

Smead Item No.

GR-Gray

Folder Color

Per Pkg. Per Carton Lbs./Carton Compatible

Fastener Position

YL-Yellow LV-Lavender GN-Green

W-9005

Manila

50 50 50

250 250 250

26.0 ET2-300L

None

W-9006_ _ Choose color W-9007_ _ Choose color

28.0 N/A 27.0 N/A

Position 1

None

14

COMPATIBLE FILE FOLDERS

11 Pt. File Folders

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Jeter Item No.

Choose Color

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Pos.

Per Pkg.

W-11030 Manila

100 100

400 500

37.0 1575 42.0 N/A

None None

RD-Red OR-Orange

W-9044_ _ Choose color

Letter-Size, Full Cut, Standard Double-Ply, End Tab with Full Pocket (12 1 ⁄ 4 ˝w x 9 1 ⁄ 2 ˝h)

BL-Blue

GD-Goldenrod

Smead Item No.

PK-Pink

Folder Color

Per Pkg. Per Carton Lbs./Carton Compatible

Fastener Pos.

W-9014 W-9015 W-9016

Manila Manila Manila

50 50 50 50 50 50

250 250 250 250 250 250

33.0 1734 35.0 N/A 36.0 N/A 31.0 N/A 33.0 N/A 34.0 N/A

None

WH-White

Position 1

GR-Gray

Positions 1 & 3

W-9017_ _ Choose color W-9018_ _ Choose color W-9019_ _ Choose color

None

YL-Yellow LV-Lavender GN-Green

Position 1

Positions 1 & 3

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab w/inside front pocket (12 1 ⁄ 4 ˝w x 9 1 ⁄ 2 ˝h)

Smead Item No.

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Pos.

Per Pkg.

W-9012 W-9013

Manila Manila

50 50

250 250

26.0 28.0

None

Position 3

Letter-Size, Standard Single-Ply with Top Loading Pocket (11 3 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Top Loading Pocket Item No. Folder Color W-9047_ _ Choose color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

100

500

43.0 N/A

None

Side-sealed pocket alignment marks on both top and end-tab edge 11 3 ⁄ 4

˝ w x 9 1 ⁄ 2

˝ h

Letter-Size, Double-Ply with Top Loading Pocket (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Top Loading Pocket Item No. Folder Color W-9076_ _ Choose color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

50

250

22.0 N/A

None

U-File M ¯ ® Binder Strips

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab with Double Pocket (12 1 ⁄ 4 ˝w x 9 1 ⁄ 2 ˝h)

One pocket is 8 1 ⁄ 2˝ deep, the other is 5˝ deep.

Barkley Item No. W-9050F

W-9093

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Pos.

Per Pkg.

Manila Manila Manila

50 50 50

250 250 250

41.0 1590-DDPEM None

W-9063 W-9093

43.0 N/A 41.0 N/A

Position 1

None

Other fastener positions available

Letter-Size, Full Cut, Standard Double-Ply, End Tab (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Jeter Item No. W-11100 W-11110 W-11120 W-11135

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

Full Cut

Manila Manila Manila Manila

100

500 250 250 250

45.0 2141

None

50 50 50

27.0 2141-56 29.0 2141-58

Position 1

Positions 1 & 3 Positions 3 & 5

29.0 2141

15

COMPATIBLE FILE FOLDERS

11 Pt. File Folders

Mini-Size, Single-Ply, End Tab (9 1 ⁄ 2 ˝w x 6˝h) Standard in the optical industry. A perfect way to contain small records or records with few documents (just fold the document in half). Mini-size, color-coding alpha and numeric labels available for this system.

Mini Size

Standard Mini Pocket Folder (left side closed)

Jeter Item No. W-11500 W-11510

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

Manila Manila

100 100

500 500

20.0 2269 22.0 1569

None None

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab with Full Diagonal Pocket (12 1 ⁄ 4 ˝w x 9 1 ⁄ 2 ˝h)

Full Diagonal Pocket

Smead Item No.

Folder Color

Per Carton Lbs./Carton Fastener Position

Per Pkg.

W-9065 W-9066

Manila Manila

50 50

250 250

36.0 None

42.0 Positions 1 & 3

2 binder fasteners

Letter-Size, Full Cut, Standard Double-Ply, End Tab with Thumb-Cut Twin Full Pockets (12 1 ⁄ 4 ˝w x 9 1 ⁄ 2 ˝h)

Specialty Folder Item No.

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

W-9068

Manila

50

250

47.4 N/A

Positions 1 & 3

Letter-Size, Full Cut, Standard Double-Ply, End Tab with Full Pocket (12 1 ⁄ 4 ˝w x 9 1 ⁄ 2

˝h) Full Pocket

Smead Item No.

Folder Color

Per Carton Lbs./Carton Fastener Position

Per Pkg.

W-9069 W-9070

Manila Manila

50 50

250 250

47.0 None

48.0 Positions 1 & 3

Letter-Size, Full Cut, Double-Ply, End Tab with Double Pocket (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Smead Item No.

Folder Color

Per Carton Lbs./Carton Fastener Position

Per Pkg.

W-9071 W-9072

Manila Manila

50 50

250 250

42.0 None

43.0 Positions 1 & 3

Double Pocket

Letter-Size, 3/4 Cut, End Tab with Built-in Double Pockets (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Double Pocket

Smead Item No.

Folder Color

Per Carton Lbs./Carton Fastener Position

Per Pkg.

W-9113

Manila

50

250

32.0 None

14 Pt. File Folders

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

3/4 Cut

Barkley Item No.

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

W-1590

Manila

50 50 50 50

250 250 250 250

20.0 1590 34.0 1590F6 35.0 1590F26 35.0 1590F36

None

W-1590F6 Manila W-1590F26 Manila W-1590F36 Manila

Position 1

Positions 1 & 3 Positions 3 & 5

16

COMPATIBLE FILE FOLDERS

14 Pt. File Folders

Letter-Size, Full Cut, Standard Double-Ply, End Tab (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Jeter Item No. W-14100 W-14110 W-14120 W-14135 Jeter Item No. W-14000 W-14010 W-14020 W-14035 Smead Item No. W-14200 W-14210 W-14220 W-14235

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

Full Cut

Manila Manila Manila Manila

50 50 50 50

250 250 250 250

44.0 2241

None

31.0 2241-56 33.0 2241-58 33.0 2241-35

Position 1

Positions 1 & 3 Positions 3 & 5

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

Manila Manila Manila Manila

100

400 250 250 250

44.0 1241

None

50 50 50

31.0 1241-56 34.0 1241-58 33.0 1241-35

Position 1

Positions 1 & 3 Positions 3 & 5

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

Manila Manila Manila Manila

100

400 250 250 250 250 250

46.0 ET2-200L

None

RD-Red OR-Orange

50 50 50 50 50

29.5 2BET2-200L-1

Position 1

33.0 2BET2-200L-1 & 3 Positions 1 & 3 32.0 2BET2-200L-3 & 5 Positions 3 & 5

BL-Blue

W-1601_ _ Choose color W-1602_ _ Choose color

29.5 2BET-200L_ _ 32.0 2BET-200L_ _

Position 1

GD-Goldenrod

Positions 1 & 3

WH-White

Letter-Size, 3/4 Cut, End Tab with Expansion (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

GR-Gray

Smead Item No.

YL-Yellow LV-Lavender GN-Green

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

W-9095 W-9096

Manila Manila

50 50 50 50

250 250 250 250

34.0 ETW2-200L 36.0 2BETW2-200L 30.0 ETW2-200L_ _

None

Positions 1 & 3

1 1 ⁄ 2

˝ Expansion

W-9077_ _ Choose color W-9078_ _ Choose color

None

32.0 2BETW2-200L_ _ Positions 1 & 3

Letter-Size, 3/4 Cut, End Tab with Built-in Pocket (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Smead Item No.

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

W-9008 W-9009

Manila Manila

50 50 50 50

250 250 250 250

35.0 ET2-350L

Position 1

33.0 N/A 34.0 N/A 32.0 N/A

None

W-9010_ _ Choose color W-9011_ _ Choose color

Position 1

None

Full Cut, 3 Fasteners & 1 Divider (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Twin-prong fastener, factory glued divider with printed alignment marks

Jeter Item No. W-14030

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

Manila

40

200

28.0 13013

Positions 1 & 3

Full Cut, with Fastener & Pocket (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Jeter Item No. W-14040

Single pocket glued to inside front cover

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

Manila

50

250

43.0 2272-56

Position 1

17

COMPATIBLE FILE FOLDERS

14 Pt. File Folders

Standard Single-Ply, Top-Loading Pocket (11 3 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Full Cut Top Opening

Top Loading Pocket Item No. Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

W-14140

Manila

100

400

42.0 Jeter 14900

None

Side-sealed pocket alignment marks on both top and end-tab edge 11 3 ⁄ 4

˝ w x 9 1 ⁄ 2

˝ h

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab Pocket w/Slant Cut Front (12 1 ⁄ 4 ˝w x 9 1 ⁄ 2 ˝h) Speciality Folder Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-9045 Manila 50 250 27.0 N/A None

Letter-Size, Full Cut, Mylar Reinforced Spine, End tab (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Reinforced mylar spine.

Top Loading Pocket Item No. Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

W-9122

Manila

50

250

31.0 N/A

Position 1&3

18 Pt. File Folders

Letter-Size, Mylar Reinforced Spine (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Reinforced mylar spine.

Specialty Folder Item No.

Folder Color

Per Carton Lbs./Carton Compatible

Fastener

Per Pkg.

None

W-9086 W-9087

Manila Manila

50 50

250 250

30.0 N/A 35.0 N/A

2 Bonded Fasteners

20 Pt. File Folders Letter-Size, 3/4 Cut, Expansion Folder with Pocket Divider (12 1 ⁄ 4 ˝w x 9 1 ⁄ 2 ˝h) Specialty Folder Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener W-9040_ _* Choose color 10 50 16.0 N/A

BL-Blue YL-Yellow GN-Green RD-Red

4 Bonded Fasteners 6 Bonded Fasteners

W-9041_ _** Choose color

10

50

21.0 N/A

*Single pocket with 1 1 ⁄ 2

˝ expansion folder

**Two pockets with 2 1 ⁄ 4

˝ expansion folder

Classification Folders

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab (12 1 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

Divider with

11 Pt. Item No. W-9141

fastener on

both sides.

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position

Per Pkg.

Manila

40

200

42.0 N/A

Positions 1 & 3

18

COMPATIBLE FILE FOLDERS

Classification Folders

Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab with 32 Pt. Dividers (12 1 ⁄ 4 ˝w x 9 1 ⁄ 2 ˝h)

BL-Blue RD-Red

14 Pt. Item No.

Folder Color

Per Carton Lbs./Carton Compatible

Fastener

Per Pkg.

YL-Yellow

W-9239_ _* Choose color W-9240_ _** Choose color

25 15

125

33.0 N/A 30.0 N/A

4 Fasteners 6 Fasteners

LV-Lavender

75

GN-Green

*One divider with 2˝ expansion folder

**Two dividers with 3˝ expansion folder

Sturdy mylar gusset.

File folder Accessories

File Dividers

Letter-Size, Top Hinge Divider (8 1 ⁄ 2

˝w x 12 1 ⁄ 4

˝h)

See Pg. 49 for medical and solid color index labels.

11 Pt. Item No. W-11330

Folder Color

Per Carton Lbs./Carton Compatible

Fastener Position Positions 1 or 3

Per Pkg.

Two fastener punched holes allow installation into file folder.

Manila

100

500

24.0 Jeter 1636

Embossed position marks around edges as guides for standard index label placement. Includes 1˝ bonded top fastener.

Letter-Size, Pressure-Sensitive Insertable File Divider (9 1 ⁄ 2

˝w x 11˝h)

Divide contents of a file folder. Die-cut to allow installation of a twin prong fastener, Item# W-103-TP available on page 11 (1 1 ⁄ 2 ˝ prong capacity).

11 Pt. Item No. W-13011

Pressure-sensitive adhesive strip along side for easy attachment to any top-code or end-code file folder.

Folder Color

Per Carton Lbs./Carton Compatible

Per Pkg.

Manila

100

1,000

37.0 Jeter 13011 & PMA SF11SA

Embossed position marks around edges as guides for standard index label placement.

19

FILE FOLDER ACCESSORIES

File Dividers

Letter-Size, Pressure-Sensitive Insertable File Divider with Fasteners (9 1 ⁄ 2

˝w x 11˝h)

11 Pt. Item No. W-9110

Folder Color

Per Carton Lbs./Carton Compatible

Per Pkg.

Self-adhesive tape for easy installation.

Manila

100

500

28.0 Smead SF11TPB

1˝ Duo Fastener on both sides of the divider.

Letter-Size, Pocket Divider (9 1 ⁄ 2

˝w x 11˝h)

11 Pt. Item No. W-9111

Self-adhesive tape for easy installation.

Folder Color

Per Carton Lbs./Carton Compatible

Per Pkg.

Manila

100

500

37.0 Smead SFP11SAB

5 1 ⁄ 2 ˝ deep pocket on each side.

Outguides

Letter-Size, Vinyl Outguides (12 7 ⁄ 8

˝w x 9 1 ⁄ 2

˝h)

The perfect way to control documents when removed from the file cabinet.

BL-Blue RD-Red

Jeter Item No. W-12010 W-12020 W-12030 W-12040

Outguide Color Per Pkg. Lbs./Carton

YL-Yellow GN-Green

Red Blue

50 50 50 50

7.25 7.25 7.25 7.25

Yellow Green

Letter-Size, Manila Outguides (12 3 ⁄ 4

˝w x 9 1 ⁄ 2

˝h)

18 Pt. Item No. W-9112

“OUT” printed on both sides. • 150 entry spaces • 75 on each side and bottom tab

Folder Color

Per Carton Lbs./Carton

Manila

100

7.0

20