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Page 14 of hcfa cms 1500 health insurance business forms

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Adams 2-Part Carbonless Sales Orders, 5.63L x 3.34W, 50 Sets/Book, 10/Pack (DC3510)Adams 2-Part Carbonless Sales Orders, 5.63L x 3.34W, 50 Sets/Book, 10/Pack (DC3510)
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Adams 2-Part Carbonless Sales Orders, 5.63"L x 3.34"W, 50 Sets/Book, 10/Pack (DC3510)
Item #: 901-DC3510
(188)
Item #: 901-DC3510
General-purpose sales book is ideal for use when receipt or guest check needs to be written
Business form size: 5.63"L x 3.34"W; detached form size: 5.13"L x 3.34"W
2-Part Carbonless forms for accurate record keeping
$26.99
Per pack
($2.70/EACH)
Add to cart
Earn 26 points
Free next-day delivery
Adams 2-Part Carbonless Sales Orders, 8.44L x 5.56W, 50 Sets/Book (DC5805)Adams 2-Part Carbonless Sales Orders, 8.44L x 5.56W, 50 Sets/Book (DC5805)
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Adams 2-Part Carbonless Sales Orders, 8.44"L x 5.56"W, 50 Sets/Book (DC5805)
Item #: 901-196113
(123)
Item #: 901-196113
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 5.56"W x 8.44"L; detached: 5.56"W x 7.94"L
2-Part White/Canary Carbonless forms for accurate record keeping
$11.99
1-7 each
Save 8%
$10.99
8+ each
Add to cart
Earn 11 points
Free delivery w/ $25+
TOPS 2-Part Carbonless Work Orders, 4.25L x 7W, 50 Sets/Book (46373)
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TOPS 2-Part Carbonless Work Orders, 4.25"L x 7"W, 50 Sets/Book (46373)
Item #: 901-508541Q
(3)
Item #: 901-508541Q
This avoid verbal orders book provides a permanent record of instructions and warnings
Size: 4.25"L x 7"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$30.59
1-6 book
Save 5%
$29.19
7+ book
Add to cart
Earn 30 points
Free delivery
TOPS 2-Part Carbonless Purchase Requisitions, 7.94L x 5.56W, 50 Sets/Book (46140)TOPS 2-Part Carbonless Purchase Requisitions, 7.94L x 5.56W, 50 Sets/Book (46140)
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TOPS 2-Part Carbonless Purchase Requisitions, 7.94"L x 5.56"W, 50 Sets/Book (46140)
Item #: 901-377687
(6)
Item #: 901-377687
Purchase order books are designed to help you write orders memos in a clear manner
Business form size: 7.94"L x 5.56"W; detached form size: 5.56"L x 7.94"W
2-Part Carbonless forms for accurate record keeping
$20.99
Per box
($0.42/EACH)
Add to cart
Earn 20 points
Free 1-2 day delivery w/ $25+
TOPS™ Carbonless Weekly Time Sheet, 2-Part, 100/Pack (NC9507)
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TOPS™ Carbonless Weekly Time Sheet, 2-Part, 100/Pack (NC9507)
Item #: 901-644311
(12)
Item #: 901-644311
Carbonless Weekly time sheet is a neat and orderly way to track employee work hours
Dimensions: 0.83"H x 5.5"W x 9"L, 8.5" x 5.5" (detached form), 9" x 5.5" (sheet)
Color: White (primary page), canary (duplicate page), blue (ink)
$11.99
Per pack
Add to cart
Earn 11 points
Free delivery w/ $25+
TOPS 3-Part Carbonless Bill of Lading, 11.44L x 8.5W, 50 Sets/Book (3846)
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TOPS 3-Part Carbonless Bill of Lading, 11.44"L x 8.5"W, 50 Sets/Book (3846)
Item #: 901-508637
(4)
Item #: 901-508637
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 11.44"L x 8.5"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$38.99
1-3 box
Save 23%
$29.99
4+ box
Add to cart
Earn 38 points
Free delivery
Adams 2-Part Carbonless Work Orders, 5.5625 x 8.4375, 10 Sets/Book, /Box (DC5805-10)Adams 2-Part Carbonless Work Orders, 5.5625 x 8.4375, 10 Sets/Book, /Box (DC5805-10)
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Adams 2-Part Carbonless Work Orders, 5.5625" x 8.4375", 10 Sets/Book, /Box (DC5805-10)
Item #: 901-DC580510
(30)
Item #: 901-DC580510
Sales orders book to keep accurate records
White pages to create originals and canary pages for copies
Pack of 10.
$127.69
1-2 pack
($12.77/EACH)
Save 27%
$93.49
3+ pack
($9.35/EACH)
Add to cart
Earn 127 points
Free delivery
Adams Carbonless Rental Applications, 8.5 x 11, 4 Sets/Book (LF310)Adams Carbonless Rental Applications, 8.5 x 11, 4 Sets/Book (LF310)
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Adams Carbonless Rental Applications, 8.5" x 11", 4 Sets/Book (LF310)
Item #: 901-571323
(314)
Item #: 901-571323
Specify the rights and obligations of both landlord and tenant
Includes four sets of forms, instructions and Lead Paint Disclosure CD-ROM
Use to lease residential rental property to a tenant and outline the terms and conditions for payment
$14.99
Per each
Add to cart
Earn 14 points
Free next-day delivery w/ $25+
Adams 3-Part Carbonless Sales Orders, 10.69L x 8.38W, 50 Sets/Book (TC8100)Adams 3-Part Carbonless Sales Orders, 10.69L x 8.38W, 50 Sets/Book (TC8100)
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Adams 3-Part Carbonless Sales Orders, 10.69"L x 8.38"W, 50 Sets/Book (TC8100)
Item #: 901-301697
(66)
Item #: 901-301697
Purchase-order books are designed to help you write order and sales memos clearly
Business form size: 10.69"L x 8.38"W; detached form size: 10.19"L x 8.38"W
3-Part Carbonless forms for accurate record keeping
$25.99
Per each
Add to cart
Earn 25 points
Free delivery
Delforms® One-Write General Expense Journal Sheets; Payroll/General Expense, 1-Part
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Delforms® One-Write General Expense Journal Sheets; Payroll/General Expense, 1-Part
Item #: 901-131021
(2)
Item #: 901-131021
Pricing details
Keep track of all your payroll and general expenses in one place – in one step!
No messy carbon paper
Eliminates copy errors and saves time
$32.99
1 pack
($2.20/EACH)
Save 12%
$28.99
4+ pack
($1.93/EACH)
Add to cart
Earn 32 points
Free delivery
Adams 3-Part Carbonless Sales Orders, 8.44L x 5.56W, 50 Sets/Book (TC5805)Adams 3-Part Carbonless Sales Orders, 8.44L x 5.56W, 50 Sets/Book (TC5805)
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Adams 3-Part Carbonless Sales Orders, 8.44"L x 5.56"W, 50 Sets/Book (TC5805)
Item #: 901-196121
(41)
Item #: 901-196121
Sales and order books are ideal for keeping proper records of orders and sales
Size: 8.44"L x 5.56"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$18.99
Per each
Add to cart
Earn 18 points
Free delivery w/ $25+
Adams 2-Part Carbonless Purchase Requisitions, 8.44L x 5.56W, 50 Sets/Book, 10/Box (DC5831-10)Adams 2-Part Carbonless Purchase Requisitions, 8.44L x 5.56W, 50 Sets/Book, 10/Box (DC5831-10)
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Adams 2-Part Carbonless Purchase Requisitions, 8.44"L x 5.56"W, 50 Sets/Book, 10/Box (DC5831-10)
Item #: 901-DC583110
(16)
Item #: 901-DC583110
Keep a bound copy for a permanent record using this purchase requisitions
Business form size: 8.44"L x 5.56"W; detached form size: 7.94"L x 5.56"W
2-Part Carbonless forms for accurate record keeping
$107.99
Per pack
($10.80/PAD)
Add to cart
Earn 107 points
Free delivery
Adams 3-Part Carbonless Auto Repairs, 8.5L x 7.44W, 50 Sets/Book (GT3870)Adams 3-Part Carbonless Auto Repairs, 8.5L x 7.44W, 50 Sets/Book (GT3870)
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Adams 3-Part Carbonless Auto Repairs, 8.5"L x 7.44"W, 50 Sets/Book (GT3870)
Item #: 901-GT3870
(78)
Item #: 901-GT3870
Auto repair order form provides space for all auto service jobs in detail
Business form size: 8.5"L x 7.44"W
3-Part Carbonless forms for accurate record keeping
$21.99
1-4 pack
Save 5%
$20.99
5+ pack
Add to cart
Earn 21 points
Free delivery w/ $25+
Adams 3-Part Carbonless Packing Slips, 7.94L x 5.56W, 50 Sets/Book (T5082)Adams 3-Part Carbonless Packing Slips, 7.94L x 5.56W, 50 Sets/Book (T5082)
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Adams 3-Part Carbonless Packing Slips, 7.94"L x 5.56"W, 50 Sets/Book (T5082)
Item #: 901-355859
(27)
Item #: 901-355859
Packing-slip book is a great way to ensure all shipments contain the correct paperwork
Business-form size: 7.94"L x 5.56"W
3-Part Carbonless forms for accurate record keeping
$12.99
1-7 each
Save 8%
$11.99
8+ each
Add to cart
Earn 12 points
Free delivery w/ $25+
Adams® Carbonless Receipt Book, 3 x 8, 2-Part, 200 Sets/Book (SC1182)
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Adams® Carbonless Receipt Book, 3" x 8", 2-Part, 200 Sets/Book (SC1182)
Item #: 901-SC1182
(625)
Item #: 901-SC1182
Rent receipt books for recording monthly financial payments
Carbonless paper creates white originals and canary duplicates
Four forms per page and 50 pages; 200 forms per book
$11.99
Per each
Add to cart
Earn 11 points
Free delivery w/ $25+
Adams 1-Part Carbonless Receipts, 5L x 3.5W, 50 Sets/Book, 12 (9672ABF)Adams 1-Part Carbonless Receipts, 5L x 3.5W, 50 Sets/Book, 12 (9672ABF)
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Adams 1-Part Carbonless Receipts, 5"L x 3.5"W, 50 Sets/Book, 12 (9672ABF)
Item #: 901-ABF9672
(38)
Item #: 901-ABF9672
Petty cash receipt pad is designed for cash payouts
Business form size: 5"L x 3.5"W
Single form for ease of use
$21.99
1-3 pack
($1.83/PAD)
Save 18%
$17.99
4+ pack
($1.50/PAD)
Add to cart
Earn 21 points
Free 1-2 day delivery w/ $25+
Adams Record Book, 8 Columns, 11 x 8.5, White, 50 Sheets/Book (S1185)Adams Record Book, 8 Columns, 11 x 8.5, White, 50 Sheets/Book (S1185)
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Adams Record Book, 8 Columns, 11" x 8.5", White, 50 Sheets/Book (S1185)
Item #: 901-628054
(13)
Item #: 901-628054
The record book is a great product for busy offices, walk-in advising centers, call centers, and other high-traffic businesses to keep track of activities and follow-ups
White paper pages
Includes 100 letter-size pages
$10.99
Per each
Add to cart
Earn 10 points
Free delivery w/ $25+
Adams 3-Part Carbonless Sales Orders, 4.19L x 7.19W, 50 Sets/Book, 10/Carton (TC4705-10)
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Adams 3-Part Carbonless Sales Orders, 4.19"L x 7.19"W, 50 Sets/Book, 10/Carton (TC4705-10)
Item #: 901-TC470510
(17)
Item #: 901-TC470510
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 7.19"L x 4.19"W
3-Part Carbonless forms for accurate record keeping
$85.99
Per pack
($8.60/EACH)
Add to cart
Earn 85 points
Free delivery
Adams 3-Part Carbonless Sales Orders, 7.19L x 4.19W, 50 Sets/Book (TC4705)Adams 3-Part Carbonless Sales Orders, 7.19L x 4.19W, 50 Sets/Book (TC4705)
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Adams 3-Part Carbonless Sales Orders, 7.19"L x 4.19"W, 50 Sets/Book (TC4705)
Item #: 901-196105
(89)
Item #: 901-196105
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 7.19"L x 4.19"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$11.99
1-7 each
Save 8%
$10.99
8+ each
Add to cart
Earn 11 points
Free delivery w/ $25+
TOPS 3-Part Carbonless Purchase Requisitions, 8.38L x 10.69W, 50 Sets/Book (46147)TOPS 3-Part Carbonless Purchase Requisitions, 8.38L x 10.69W, 50 Sets/Book (46147)
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TOPS 3-Part Carbonless Purchase Requisitions, 8.38"L x 10.69"W, 50 Sets/Book (46147)
Item #: 901-388374
(3)
Item #: 901-388374
Purchase-order books are designed to help you write order memos in a clear manner
Business-form size: 8.38"L x 10.69"W; detached: 8.38"L x 10.19"W
3-Part Carbonless forms for accurate record keeping
$42.99
Per box
Add to cart
Earn 42 points
Free delivery
TOPS Money/Rent Receipt Book, 5.25 x 11, White/Canary, 50 Sheets/Book (4161)TOPS Money/Rent Receipt Book, 5.25 x 11, White/Canary, 50 Sheets/Book (4161)
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TOPS Money/Rent Receipt Book, 5.25" x 11", White/Canary, 50 Sheets/Book (4161)
Item #: 901-745083
(22)
Item #: 901-745083
Use this receipt book for rent payments or any other type of payment
Original form is white with blue and red ink and canary duplicate with a black/white image
50 pages with four perforated two-part carbonless forms per page
$29.99
Per pad
Add to cart
Earn 29 points
Free 1-2 day delivery
TOPS Paper Stock File Jackets, Extra Wide Letter Size, Manila, 20/Pack (TOP 3440)TOPS Paper Stock File Jackets, Extra Wide Letter Size, Manila, 20/Pack (TOP 3440)
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TOPS Paper Stock File Jackets, Extra Wide Letter Size, Manila, 20/Pack (TOP 3440)
Item #: 901-3440Q
(1)
Item #: 901-3440Q
Made of manila paper stock
Easily fits standard 9.5" x 11.75" documents and smaller items
20 pockets per pack
$53.99
Per pack
($2.70/EACH)
Add to cart
Earn 53 points
Free delivery
TOPS Receipts, 2.75L x 7.13W, 100/Pack (46808)TOPS Receipts, 2.75L x 7.13W, 100/Pack (46808)
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TOPS Receipts, 2.75"L x 7.13"W, 100/Pack (46808)
Item #: 901-46808
(33)
Item #: 901-46808
Money receipt book is consecutively numbered for easy organization
Envelopes are not included
Business form size: 2.75"L x 7.13"W; sheet size: 10.88"L x 7.63"W
$26.99
1-2 each
Save 7%
$24.99
3+ each
Add to cart
Earn 26 points
Free 1-2 day delivery
TOPS™ Repair Order Book, 2-Part, 50 Sheets/Book (D5084)TOPS™ Repair Order Book, 2-Part, 50 Sheets/Book (D5084)
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TOPS™ Repair Order Book, 2-Part, 50 Sheets/Book (D5084)
Item #: 901-843516
(24)
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)
$9.49
1-9 each
Save 11%
$8.49
10+ each
Add to cart
Earn 9 points
Free delivery w/ $25+
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