Page 20 of hcfa cms 1500 health insurance business forms
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Custom Illness/Injury Excuse Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131511R
Excuse forms for injuries and illnesses
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Delforms® One-Write Payroll General Expense Check Refills; 250 with Duplicates
Item #: 901-131012
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
Custom Repair Orders, Garage, Carbon, Side-Stub, Large Format, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pk
Item #: 901-D6553
27 lines for parts & accessories, plus handy odometer in/out boxes & "Save Old Parts" question box for use when scheduling maintenance
Track customer acceptance: Signature line for customer authorization prevents disputes
Consecutively numbered for easy recordkeeping
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Carton (00007)
Item #: 901-FF7
Item #: 901-FF7
String & button, basic-duty box perfect for storing checks and forms
White/Blue corrugated storage box with standard assembly is sturdy and lightweight
Check Size, holds 9.5" x 23.27" files
$276.99
Per carton
($23.08/EACH)
Custom Work Orders, Job, Carbonless, Small Format 3 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 500/Pack
Item #: 901-D65583
Custom printed business forms, with time-saving features & expert personalization
Extra-large work description area, including 13 lines for detailed write-ups
Signature line for customer authorization prevents disputes
Custom Work Orders, Carbonless, Small Format 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D2113
Custom printed business forms, with time-saving features & expert personalization
16 lines for materials, plus space for labor & other costs
Signature line for customer authorization prevents disputes
Custom Service Orders, Road/Towing, Booked, Small Format 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D25253
Manage tasks: Small format business form simplifies paperwork at the shop or site with pre-printed checkboxes and itemization of charges
Track customer acceptance: Signature line for customer authorization prevents disputes
Stay organized: Bottom copy stays bound in towing receipt book for a permanent record; 50 sets per book
Custom Work Orders, Job, Carbon, Small Format 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D2583
Custom printed business forms, with time-saving features & expert personalization
Extra-large work description area, including 13 lines for detailed write-ups
Signature line for customer authorization prevents disputes
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Carton (00018)
Item #: 901-FF18
Item #: 901-FF18
String & button, basic-duty box perfect for storing checks and forms
White/Blue corrugated storage box with standard assembly is sturdy and lightweight
Form Size, holds 23.75"W x 8.75"H files
Custom Snap Apart Sales Slips, 3 part, 8-1/2" x 5-2/3", 500 Sheets
Item #: 901-TGSCC6523
3-part carbonless
Sales slip measures 8-1/2"Hx5-2/3"W
500 loose sheets
One-Write PostingIndex Tabs, A-Z, 11x11 (100009N)
Item #: 901-100009
Item #: 901-100009
The best choice for basic general expense check writing
Sturdy A-Z metal-tabbed index cards divide ledgers for easy reference
Indexes only
Custom Appointment Excuse Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN131531R
Excuse forms for work or school
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
Adams Attendance Records, 50/Pack (ABF 9493)
Item #: 901-9493
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
$29.99
Per pack
($0.60/EACH)
Daily Attendance Cards
Item #: 901-370114
Item #: 901-370114
50 forms
1 form per page
Track employee attendance for the entire year with absence codes
$24.99
Per each
Custom Insurance Assignment Release Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN142231R
Patient insurance coverage forms
4" W x 5-1/2" L
White 20# text stock; printed in black ink
TOPS® Application for Employment, 2-Sided, 8-1/2 x 11", 50 Sheets/Pad, 2 Pads/Box (32851)
Item #: 901-370031
Item #: 901-370031
2-hole punched
Application complies with all legal requirements
Includes employment history, references, education, personal information, physical record, check-offs for special questions and space for interviewer's remarks
$41.99
1-3 box
Save 5%
$39.99
4+ box
Custom Purchase Orders - Classic Small Booked,3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D91B3
Keep track of everything you buy! Professional Purchase Orders have preprinted columns and room to list quantities, stock numbers, descriptions and more
Signature line prevents unauthorized purchases
Create clean records: Carbonless forms stay tightly aligned for clear, clean copies
Zapco Invoices, 8.5" x 11", 500 Sets/Book (MBF-1-500BWH51F)
Item #: 901-195337LMP
Item #: 901-195337LMP
Paper Weight: 24 lbs.
500/pack
Finish: Bond
ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)
Item #: 901-2548999
Item #: 901-2548999
Lets you record basic information on the outside, confidential data on the inside
Comes in distinctive blue color to distinguish medical records from other personnel file
Attorney developed and approved to ensure 100% compliance
Custom Appointment Excuse Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131551R
Excuse forms for appointments
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Dental Referral Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN105751R
Referral forms for dentists
4" W x 5-1/2" L
White 20# text stock; printed in black ink
ComplyRight™ Expanded Confidential Employee Medical Records Folder, Pack of 25 (A3325)
Item #: 901-2549001
Item #: 901-2549001
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance with ADA, FMLA, OSHA and HIPAA recordkeeping requirements
Folder is a disctinctive blue color to easily distinguish medical records from other personnel folders
Custom Snap Apart Sales Slips, 2 part, 8-1/2" x 5-2/3", 500 Sheets
Item #: 901-TGSCC6522
2-part carbonless
Sales slip measures 8-1/2"Hx5-2/3"W
500 loose sheets
Custom Marine Service Orders - Classic, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pack
Item #: 901-D3193
Detachable stub: Forms have Detachable claim checks on tag stock
Durable: Plastic coated wire fasteners included
Consecutively numbered for easy recordkeeping
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