Custom Disability Certification Slips, 8-1/2" x 5-1/2", 100 Sheets per Pad
$17.79
5-9 pad
(
$0.18/EACH
)
Custom Disability Certification Slips, 8-1/2" x 5-1/2", 100 Sheets per Pad
Item #:
901-QFN132131R
Model #:
7QGFM132131R
Brand:
Quill Custom Print
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Product details
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- For certification of care
- 8-1/2" W x 5-1/2" L
- White 20# text stock; printed in black ink
Save up to 10% on every order, plus free shipping and more. See what you’d save.
Start your membership
$17.79
5-9 pad
(
$0.18/EACH
)
100 EACH = 1 PAD
Custom Disability Certification Slips, 8-1/2" x 5-1/2", 100 Sheets per Pad
Buy more & save!
Extra 40% off on 40+ units
Qty. savings
Per pad
10%
$15.99
10 - 19 pad
20%
$14.29
20 - 29 pad
30%
$12.49
30 - 39 pad
40%
$10.59
40 + pad
Frequently bought together
Item #: 901-QFN132131R
$17.79
5-9 pad
($0.18/EACH)
40% off
$10.59
40+ pad
($0.11/EACH)
$88.95
+
+
Item #: 901-QFN131091R
$9.29
5-9 pad
($0.09/EACH)
43% off
$5.29
40+ pad
($0.05/EACH)
$46.45
Total
$181.85
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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.
- For certification of care
- 8-1/2" W x 5-1/2" 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
5-1/2" x 8-1/2"
Form Type
Insurance
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
5-1/2" x 8-1/2"
