Custom Disability Certification Slips, 5-1/2" x 4", 100 Sheets per Pad
$8.59
5-9 pad
($0.09/EACH)
Save 44%
$4.79
40+ pad
($0.05/EACH)
Custom Disability Certification Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #:
901-QFN131011R
Model #:
7QGFM131011R
Brand:
Quill Custom Print
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$8.59
5-9 pad
$0.09/EACH
Save 44%
$4.79
40+ pad
$0.05/EACH
100 EACH = 1 PAD
Buy more & save!
Qty. savings
$8.59
5 - 9 pad
18%
$6.99
10 - 19 pad
24%
$6.49
20 - 29 pad
34%
$5.59
30 - 39 pad
44%
$4.79
40 + pad
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Custom Disability Certification Slips, 5-1/2" x 4", 100 Sheets per Pad
Frequently bought together
Item #: 901-QFN131011R
$8.59
5-9 pad
($0.09/EACH)
Save 44%
$4.79
40+ pad
($0.05/EACH)
$42.95
+
+
Total
$127.73
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Description
Professional note certifies that a patient under your care has been totally or partially incapacitated for a period of time.
- Certification of diability forms for patient use
- 5-1/2" W x 4" L
- White 20# text stock; printed in black ink
- 100 sheets per pad, order in quantities of 5 pads
- Padded at the top
Specifications
# Up Per Sheet/Page
1
Binding Type
Padded
Brand
Quill Custom Print
Carbonless
No
Color
White
Customizable
Yes
Form Size
4" x 5-1/2"
Form Type
Documentation
Format
Medical Chart
Holes Punched
No
Lines
7
Media Quantity
100
NCR Paper
No
Number of Parts
1
Numbered
No
Package Quantity
100 per Pad
Personalization
Yes
Security Features
No
Sheet Size
4" x 5-1/2"
