I would not say we are super reliant on paper/fax anymore.
But, it is still quite common. I did receive a Fax at the office last week on Thursday.
Oh, and some of our stuff uses Dialup, usually in relation to that older infrastructure. Got thrown for a loop this wednesday when ye good old Dialup (acoustic handshake) audio started screeching across the office. Did not realize we still used it at all!