Page 20 of hcfa cms 1500 health insurance business forms
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Rediform 3-Part Carbonless Credit Memos, 5.5"L x 7.88"W, 50 Sets/Book (RED7L787)
Item #: 901-508632
Credit memo book is consecutively numbered for easy organization
Credit memo book has a flexible cover
Envelopes are not included
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"
LUX W-2 / 1099 Envelopes (5 3/4 x 8) 500/Pack, White (7489-W2-500)
Item #: 901-23995918
Comes in White
Dimensions: 5.75"L x 8"W
Moistenable Glue Sealing Method
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 2-Part Carbonless Guest Checks, 4.25"L x 7.25"W, 250 Sets/Book (947SWC)
Item #: 901-947SWC
Guest check form is used to record the receipt of petty cash, rent, or other payments
Buziness form size: 4.25"L x 7.24"W; detached form size: 6.75"L x 4.25"W
2-Part Carbonless forms for accurate record keeping
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)
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"
Custom Cash Receipt Books, Classic Design, 3 To Page, 2 Parts, 1 Color Printing, 6 3/4" x 8 1/2", 500/Pack
Item #: 901-D6932
Simple: An easy way to track payments
Get the details: Receipt form features preprinted areas that document payment, payment method & account balance
Stay organized: Bottom copy stays bound in book for a permanent record
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 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
Custom Cash Receipt Book, 3-to-a-page, Duplicate, 225 Sets/Book
Item #: 901-TCRB1172
3-Up
Dupllicate
225 sets per book
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
Medical Arts Press Standard Preprinted Chart Divider Tabs, Patient Information, Orange (30583)
Item #: 901-30583
Orange tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
Custom Cash Receipt Book, 3-to-a-page, Triplicate, 150 Sets/Book
Item #: 901-TCRB1183
3-Up
Triplicate
150 sets per book
ComplyRight™ Confidential Employee Records Folder, Expanded, Pack of 25 (A0175)
Item #: 901-2549342
Made in the U.S.A of thick, long-lasting manila card stock
Developed by employment attorneys for 100% compliance
Ample space to store and keep employee hiring and employment records confidential
Custom Cash Receipt Book, 3-to-a-page, Triplicate, 150 Sets/Book
Item #: 901-TCRB1173
3-Up
Triplicate
150 sets per book
Zapco Invoices, 8.5" x 11", 500 Sets/Book (MBF-1-500BWH51F)
Item #: 901-195337LMP
Paper Weight: 24 lbs.
500/pack
Finish: Bond
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"
ComplyRight™ Application for Employment
Item #: 901-AR0374
Front has applicants personal information
Back covers previous employment and plain-language disclosures
Each form includes a free tip sheet with do's and don'ts for proper usage
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1193
4-Up
Triplicate
200 sets per book
LUX W-2 / 1099 Envelopes (5 3/4 x 8) 1000/Pack, White (7489-W2-1000)
Item #: 901-23995922
Comes in White
Dimensions: 5.75"L x 8"W
Moistenable Glue Sealing Method
Custom Purchase Orders, Classic Design, Large Format,3 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D923
Large-format form lists up to 20 procurement items with plenty of space for terms, requisition numbers, stock & shipping information, plus much more
Signature line prevents unauthorized purchases
Create clean records: Carbonless forms stay tightly aligned for clear, clean copies
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"
TOPS™ Guest Check Pad, 1-Part, 100 Sheets/Pad (2100-12)
Item #: 901-196279
Guest Check pad is great for a home, office or business purpose
Dimensions: 3.35"H x 4.13"W x 5.44"L, 4.94" x 3.35" (detached form), 5.44" x 3.34" (sheet)
Color: White (primary page), blue (ink)
