Custom Disability Certification Slips, 8-1/2" x 5-1/2", 100 Sheets per Pad
$11.75
5-9 pad
($0.12/EACH)
$6.99
40+ pad
($0.07/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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Sale
$11.75
5-9 pad
$0.12/EACH
$6.99
40+ pad
$0.07/EACH
100 EACH = 1 PAD
Buy more & save!
$16.79
$11.75
5 - 9 pad
$14.99
$10.49
10 - 19 pad
$13.49
$9.44
20 - 29 pad
$11.79
$8.25
30 - 39 pad
$9.99
$6.99
40 + pad
Custom Disability Certification Slips, 8-1/2" x 5-1/2", 100 Sheets per Pad
Frequently bought together
30% off
Item #: 901-QFN132131R
$11.75
5-9 pad
($0.12/EACH)
$6.99
40+ pad
($0.07/EACH)
$58.75
+
30% off
Item #: 901-QFN131071R
$6.01
5-9 pad
($0.06/EACH)
$3.07
40+ pad
($0.03/EACH)
$30.05
+
30% off
Item #: 901-QFW1202001
$44.09
3 book
($0.09/EACH)
$40.59
15 book
($0.08/EACH)
$132.27
Total
$221.07
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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"
