Page 19 of hcfa cms 1500 health insurance business forms
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Adams 3-Part Carbonless Auto Repairs, 11.44"L x 8.5"W, 50 Sets/Book (GT3810)
Item #: 901-355834
Auto repair order forms provide space for all auto service jobs in detail
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
Adams Write 'N Stick Receipt Book, 2.75" x 5.38", White, 50/Pack (ABF DC2501WS)
Item #: 901-DC2501WS
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 5.38"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
Adams 3-Part Carbonless Purchase Order, 10.69"L x 8.38"W, 50 Sets/Book (TC8131)
Item #: 901-301648
Keep a bound copy for a permanent record using this purchase order book
Size: 10.69"L x 8.38"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
Purchase Order Book, 2 Parts, Carbonless, 5 1/2" x 7 7/8"
Item #: 901-2675659
In duplicate and triplicate formats
White original, canary duplicate, pink triplicate
50 sets per book
Adams Receipts Book, 2.75"L x 5.38"W, 50 Sheets/Book, 3/Pack (DC2501-3)
Item #: 901-448239
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 5.38"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
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
Adams 2-Part Carbonless Sales Orders, 7.19"L x 3.34"W, 50 Sets/Book (DC3705)
Item #: 901-DC3705
Sales and order books are ideal for keeping proper records of orders and sales
Size: 7.19"L x 3.34"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
Rediform 2-Part Carbonless Purchase Requisitions, 8.5"L x 11"W, 50 Sets/Book (RED1L146)
Item #: 901-2675658
Purchase order book.
17 lines
Brand: Rediform
TOPS® Bill of Lading Unit Set, Ruled, 4-Part Carbonless, 11-7/16" x 8-1/2", 50/Pack (3847)
Item #: 901-903257
Originals are printed in Light Blue, duplicates in Blue
White carbonless paper
Hazardous material information areas are printed in Red
Adams Carbon Rental Applications, 8.5" x 11", (LF255)
Item #: 901-571368
The easy-to-use, month-to-month rental agreement form allows you to lease residential property on a monthly basis, specifying all terms and conditions from security deposits to late charges
Form size: 11"L x 8.5"W
Form duplicate: carbon; comes in white
TOPS Credit Card Sales 3-Part Carbonless Receipt, 3.25"L x 7.88"W, 100/Pack (TOP 38538)
Item #: 901-810999
Triplicate Credit Card Sales Slips are made with carbonless paper to protect your customers; no carbon tissues containing credit card information to worry about
Size: 3.25"L x 7.88"W
Features a carbonless 3-part format and comes in white
Rediform Money 3-Part Carbonless Receipt Book, 2.75" x 6.88", 200/Pack (S1657NCL)
Item #: 901-742650
Money receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 6.88"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
Rediform 4-Part Carbonless Purchase Requisitions, 8.5"L x 11"W, 50 Sets/Book (RED4P489)
Item #: 901-2658621
Auto Repair Order Speediset, 4-Part
Consecutively numbered for job tracking
Two-color printing on original
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
Custom Pocket-Size Receipts, Booked, 2 Parts, 1 Color Printing, 6 3/4" x 3 3/8", 500/Pack
Item #: 901-D6912
Get the details: Receipt form features preprinted areas that document payment, payment method & account balance
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Imprint Color: Black
Adams 2-Part Carbonless Invoices, 8-1/2" x 7-7/16", 50 Sets/Book (NC2872-50)
Item #: 901-442798
2-part carbonless with a white, canary paper sequence
Ruled format
Space at top for company stamp
Adams Carbonless Rental Applications, 8.5" x 11", 4 Sets/Book (LF310)
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
TOPS Snap-Off 3-Part Carbonless Packing Slips, 8-1/2" x 7", 50 Sets/Book (3834)
Item #: 901-377682
Complete with all necessary documentation for shipments
3-part carbonless, white, canary, pink paper sequence
Not numbered
Custom Repair Orders, Jewelry, Classic Design, Envelope 3 Parts, 1 Color Printing, 4 1/4" x 7 1/4",250/Pack
Item #: 901-D7653
Custom printed business forms, with time-saving features & expert personalization
Special instructions area for customer engraving, sizing & more
Last part is jewelry envelope with adhesive closure
Daily Attendance Cards
Item #: 901-370114
50 forms
1 form per page
Track employee attendance for the entire year with absence codes
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 901-398026
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
ComplyRight Self-Seal Tax Envelope, 10" x 13", White/Green, 50/Pack (PEB02)
Item #: 901-24588696
Double-window multipurpose tax return envelope will dress up every tax return and report from your office
Dimensions: 10" x 13"
Made of paper in white with green accents
Alliance 1-Part Carbonless Guest Checks, 3.4" x 6.73", 50 Sets/Book, 2/Carton (367401)
Item #: 901-2398426
Green
3.4" x 6.73"
50 books of 50 per carton
