Page 22 of 1099 carbonless forms
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Tabbies Healthcare Patient Privacy Sign-In Sheets Two-Part Carbon, 11"L x 8.5"W, 125/Pack (14531)
Item #: 901-2678549
Confidentially sign in your patients with patient sign-in label forms
Two-Part patient sign-in label forms
Contains 125 carbon sheets per pack for bulk purchasing
TOPS 2-Part Carbonless Purchase Order, 8 7/16" x 5 9/16", 50 Sets/Book (46500)
Item #: 901-2667639
8 7/16" x 5 9/16"
50 forms
1 form per page
ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9.25", 50/Pack (6666150)
Item #: 901-24507911
Double-window envelope for W-2 tax form.
Features a moisture/gum-seal flap.
Pack of 50 envelopes.
TOPS 3-Part Carbonless Bill of Lading, 8.5"L x 7.44"W, 250 Sets/Book, /Box (L3841)
Item #: 901-508568
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 8.5"L x 7.44"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)
Item #: 901-9661
Includes the necessary information for every type of position
Contains 50 two-sided forms per pad, two pads per package
Perfect contrast of blue ink on white paper
Custom Bill of Lading, Carbonless, Small Format, 3 Parts, 1 Color Printing, 8 1/2" x 7", 500/Pack
Item #: 901-D50413
Special section to identify hazardous materials
Carbonless forms for clean copies
7 description lines
TOPS 3-Part Carbonless Sales Orders, 5-1/2" x 7-7/8", (46510)
Item #: 901-2667638
Numbered sales forms, unheaded columns
5-1/2" x 7-7/8"
Three-part carbonless (white, canary & pink)
Adams CMS-1500 1 Part Health Insurance Claims, 100/Pack (ABF CMS1500L1V)
Item #: 901-486075
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 100 forms per package
TOPS Professional Notebooks, 8.5" x 11", Wide Ruled, 100 Sheets, White (4100)
Item #: 901-459355
50 pages
200 forms, 4 forms per page
Actual book size is 8-1/4" x 11". The detached form size is 5-1/2" x 3-7/8".
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Item #: 901-519727
Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Contains 2500 forms per carton
TOPS® Proposal Book, Ruled, 2-Part, White/Canary, 11" x 8 3/8", 1/Ea
Item #: 901-2667640
11" x 8 3/8"
50 forms
1 form per page
Adams Job Invoices, 11.44"L x 8.5"W, 50 Sets/Pack (NC3817-50)
Item #: 901-NC381750
This job-invoice form is designed for service and repair businesses
Form size: 11.44"L x 8.5"W; detached: 10.94"L x 7.88"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
Item #: 901-24581404
This CMS-1500 jumbo health care billing envelope helps reduce processing delays
500 envelopes per box
Form size: 9" x 12.5"
Daily Attendance Cards
Item #: 901-370114
50 forms
1 form per page
Track employee attendance for the entire year with absence codes
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless- Custom
Item #: 901-13553
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
TOPS™ Repair Order Book, 2-Part, 50 Sheets/Book (D5084)
Item #: 901-843516
Repair Order book is perfect for repair and general work jobs
Dimensions: 0.38"H x 8.44"W x 5.56"L, 7.94" x 5.56" (detached form), 5.56" x 8.44" (sheet)
Color: White (primary page), white (duplicate page), blue (ink)
Medical Arts Press® Progress Notes, No Imprint, 250/Pack (21757NP)
Item #: 901-21757NP
Type of form: Progress note
250 per pack
Size: 8 1/2" x 11"
Medical Arts Press® Continuation Notes, White, No Punch Option
Item #: 901-20131NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
Medical Arts Press® Veterinary Animal Record Progress Notes, Narrow Ruled
Item #: 901-20475
Type of form: Veterinary progress note
250 per pack
Size: 8 1/2" x 11"
Medical Arts Press Treatment Notes, Tooth #, Non-Imprinted, No Punch, 250/Pack (20560NP)
Item #: 901-20560NP
Type of form: Treatment note
250 per pack
Size: 8 1/2" x 11"
Adams Attendance Records, 50/Pack (ABF 9493)
Item #: 901-9493
Control costs and keep track of employees' work schedules with daily attendance record
Contains 50 records per package
Perfect contrast of blue ink on white paper
Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)
Item #: 901-9287
The employee personnel file folder is complete with space for any case
Number of parts: 1
Contains 20 per pack for bulk purchasing
TOPS™ Gift Certificate Book, 1-Part, 25/Book (GFTBK1)
Item #: 901-448269
Gift Certificate book to personalize your gift
Dimensions: 0.13"H x 3.25"W x 11"L, 7.81" x 3.25" (detached form), 11" x 3.25" (sheet)
Color: Cream (primary page), maroon (ink)
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
Item #: 901-398024
Describes how medical information about patients may be used and disclosed
Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and do's and don'ts
Size: 8 1/2" x 11"
