Page 20 of hcfa cms 1500 health insurance business forms
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TOPS Petty Cash Receipt Book, 2.75"L x 5"W, 200/Pack (TOP4109)
Item #: 901-4109
Petty cash book is designed for cash payouts
Size: 2.75"L x 5"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$23.39
1-4 each
Save 5%
$21.99
5+ each
Better Office 2-Part Carbonless Sales Order Book, 4.13" x 7.19", 50 Sets/Book, 3 Books/Pack (66003-3PK)
Item #: 901-24558004
Sales order book is a convenient way to stay organized and track all customer transactions in your business
Size: 4.13" x 7.19"
Each carbonless two-part set features a white top sheet for recording each transaction and a bottom canary yellow sheet that captures written text from the top sheet
$26.49
Per pack
TOPS™ Carbonless Weekly Time Sheet, 2-Part, 100/Pack (NC9507)
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)
$8.69
Per pack
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
$30.59
Per pack
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
$22.49
Per each
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
$38.19
1-4 pack
Save 5%
$35.99
5+ pack
Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531)
Item #: 901-2678549
Confidentially sign in your patients with patient sign-in label forms
One-part patient sign-in label forms
Contains 125 sheets per pack for bulk purchasing
$79.09
Per pack
Dome Short-Cut Payroll Book, 8 Columns, 11.25" x 8.75", Navy (650)
Item #: 901-137240
For businesses with 1-50 employees
Double-page spread
Holds records for one year
$30.59
1-2 each
Save 22%
$23.59
3+ each
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
$8.49
1-2 each
Save 5%
$7.99
3+ each
ComplyRight Self-Seal Tax Envelope, 9.5" x 11.5", White/Green, 50/Pack (PEV22)
Item #: 901-24588706
Double-window multipurpose tax return envelope will dress up every tax return and report from your office
Dimensions: 9.5" x 11.5"
Made of paper in white with green accents
$37.09
Per each
$12.89
Per each
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9", 50/Pack (444250)
Item #: 901-24507915
Double-window envelope for W-2 (5206/5208) tax form.
Self-sealing for added convenience.
Pack of 50 envelopes.
$54.19
Per pack
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
$15.59
Per each
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
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
$17.99
Per each
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
$30.79
Per pack
($15.40/PAD)
TOPS™ Carbonless Job Work Order Book, 3-Part, 33 Sheets/Book (T5868)
Item #: 901-293639
Carbonless Job Work Order book is perfect to note down detail costs in both materials and labor
Dimensions: 0.3"H x 8.44"W x 5.56"L, 5.56" x 7.94" (detached form), 5.56" x 8.44" (sheet)
Color: White (primary page), white (triplicate page), canary (duplicate page), blue (ink)
$7.29
Per each
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
$36.09
Per each
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
$143.39
1-2 carton
Save 8%
$130.99
3+ carton
Custom Classic Design, Lined Small Format Invoices, 2 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D1082
Get the details: Includes 13 description lines on this lined form to record the invoice details
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Bills of Lading - Small Carbonless, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D62053
Meets regulations. These forms meet all D.O.T. and I.C.C. regulations. Please note: For Non-Hazmat shipments only
Get the details: 6 description lines
Consecutively numbered for easy recordkeeping
ComplyRight First Class Moisture Seal Tax Envelope, 9.5" x 12", White/Blue, 50/Pack (PES45)
Item #: 901-24588693
Multipurpose tax return envelope quickly seals and protects data that will dress up every tax return and report from your office
Dimensions: 9.5" x 12"
Made of paper in white with blue accents
$37.09
Per each
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
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