Page 23 of hcfa cms 1500 health insurance business forms
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Custom Graph Papers, Pro-Sketch, 1/8", Padded, 1 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D2071
Get the details: Lines at top of each sheet to list project dates & details
Stay organized: 50 sheets per pad; ruled in 1/8" non reproducing blue grid when copied
Numbering not available
ComplyRight Confidential Personnel Envelo-File, Legal Size, 25/Pack (A0731)
Item #: 901-2549007
Protects legally sensitive documents
Outside grid lets you record general employee information and benefits data directly on the folder
Attorney developed and approved to ensure 100% compliance
ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123)
Item #: 901-728245
Communicates mandatory HIPAA rules to patients
Laminated
Informs patients of their rights and responsibilities under HIPAA regulations
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 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 Carbonless Numbered Blue Receipt Books, 4-3/4" x 2-3/4", 500 Receipts per Book
Item #: 901-QFW1202201
Self-duplicating; everything is printed on original and duplicate
Book size is 11-1/2" W x 8-1/2" L; detached receipt size is 4-3/4" W x 2-3/4" L
Blue self-duplicating carbonless stock; pre-printed in black and blue ink
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
ComplyRight 1-Part Personnel Folder, 25/Pack (A222)
Item #: 901-1949183
Expandable confidential personnel folder protects legally sensitive information
One-part personnel folder
Contains 25 files per package
TOPS Employee Record File Straight Cut, 20/Pack (TOP 3287)
Item #: 901-3287
Employee personal files include all you need to build a complete employee record
20 personal files per pack
Comes in white with green ink
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
ComplyRight Employee Personnel Envelope (A0717)
Item #: 901-203198
25 Pack
Ample space on the outside of the file to document employee information.
Pack of 25
Custom Dental Appointment Excuse Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131421R
Excuse forms for dental appointments
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Classic Large Sales Orders, 2 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D532
Extra long, record up to 27 items
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo or custom logo
Custom Carbonless Side-Stub Job Work Order, Large Format, 3 Parts, 1 Color Printing, 8 1/2" x 5 1/2", 500/Pack
Item #: 901-D2133
Preprinted areas for material costs, descriptions, labor, signature & dates
Last part is durable tag stock preprinted with a material & labor record for future reference
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
ComplyRight™ New Jersey Job Application, Pack of 50 (A2179NJ)
Item #: 901-1949603TFP
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
Custom Classic Small Lined Booked Invoices, 2 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D108B2
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 Bill of Lading - Large Carbonless, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,250/Pack
Item #: 901-D62253
Meets regulations: These forms meet all D.O.T. and I.C.C. regulations
Generous description area: 17 description lines
Identify hazardous materials. Special section to identify hazardous materials
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Item #: 901-16010MAP
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Ct (00006)
Item #: 901-510583
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 5 3/4" x 9" x 23 1/4" files
Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4"
Item #: 901-16020
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
Custom Auto Parts Sales Order - Small with Side-Stub 3 Parts, 1 Color Printing, 8 1/2" x 5 2/3",500/Pack
Item #: 901-D6573
Handy: Special columns for list and net prices
These forms come with the option to have consecutive numbering printed on them
Imprint Color: Blue
Custom Classic Small Sales Slips 3 Parts, 1 Color Printing, 4 1/4" x 7", 500/Pack
Item #: 901-D803
Consecutive numbering available
Convenient: Snapset Format
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
Custom Classic Small Sales Slips 2 Parts, 1 Color Printing, 4 1/4" x 7", 500/Pack
Item #: 901-D802
Consecutive numbering available
Convenient: Snapset Format
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
Custom Service Orders, Booked, Large Format 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D3212
Take complete orders: Preprinted areas simplify write-ups of vehicle make and model, service, parts, time and more
Get the details: 12 lines provide ample room so orders can fit on a single page
Track customer acceptance: Signature line for customer authorization prevents disputes
