Page 24 of hcfa cms 1500 health insurance business forms
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Custom Graph Paper, Standard 1/4" Grid, 1 Color Printing, Padded, 8 1/2" x 11", 500 Sheets /Pack
Item #: 901-2051DQ
Lines at top of each sheet to list project dates & details
Ruled in 1/4" gray grid
50 sheets per pad; 10 pads per pack of 500 sheets
Custom Bills of Lading - Small Carbonless, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D72004
Special section to identify hazardous materials
Meets regulations. These forms meet all D.O.T. and I.C.C. regulations
Get the details: 8 description lines
Rediform Money Receipt Books, Carbonless, 2 Parts, 2 3/4" x 5", 50 Sheets (8L820)
Item #: 901-2675655
Size: 2 3/4" x 5"
50 forms per book
Binding: Bound
Custom HVAC Service Orders - Side-Stub, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pack
Item #: 901-D65343
Includes Environmental check list
Authorized signature line included
Sturdy: Last part is sturdy manila tag
Custom Work Orders - Side-Stub with Carbons, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pk
Item #: 901-D2453
Perforated. You can send invoice section with or without detachable materials list, as needed
Durable: Last part is durable tag stock
Customer sign-off section: Includes preprinted section, for customer to sign-off on service/work as acceptable
TOPS Credit Card Sales 3-Part Carbonless Receipts, 3.25"L x 7.88"W, 100 Sets/Book, 5/Carton (38538CT)
Item #: 901-810999CT
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
ComplyRight ADA Self-Seal Envelope (2003ES)
Item #: 901-728692E
Self-Seal Envelope you can use it for 2002, 2004, & 2006 Versions
Dimensions: 9.5" W x 4.125" H
Pack size 500
Custom Statements, Laser, 1 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D13437G1
Handy aging section! Statement includes an account aging section at bottom for current and past due amounts
Consecutive numbering available
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Small Format Bills of Lading with Carbon, 3 Parts, 1 Color Printing, 8 1/2" x 7", 1000/Pack
Item #: 901-D1263
Get the details: Special section to identify hazardous materials - these forms meet all D.O.T. and I.C.C. regulations
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint with choice of typeface
Custom Pocket-Size Receipts, Booked, 3 Parts, 1 Color Printing, 6 3/4" x 3 3/8", 500/Pack
Item #: 901-D6913
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
ComplyRight 1-Part Personnel Folder, 25/Pack (A223)
Item #: 901-1949180
Personnel folder keeps quick information on the outside and confidential records on the inside
One-part personnel folder
Contains 25 folders per package
ComplyRight™ Personnel Pocket File Folder, Pack of 25 (A1202)
Item #: 901-1949182
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Extended tab on folder helps easily locate employee from file cabinets
Adams 2-Part Petty Cash Carbonless Receipts Book, 2.75" x 5", 200 Forms/Book (ABF SC1156)
Item #: 901-SC1156
Money and rent receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 5"W; detached form size: 5"L x 2.75"W
2-Part Carbonless forms for accurate record keeping
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
Custom Classic, Compact Invoices 3 Parts, 1 Color Printing, 5 2/3" x 7", 500/Pack
Item #: 901-D1143
Compact, yet there's room to include all the information your customers need to pay promptly
Compact invoices are ideal for smaller orders
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
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
ComplyRight 2025-2026 Fiscal Year Attendance Calendar Cards, 50/Pack (A42005015)
Item #: 901-1949176TFP
Features a fiscal year calendar (July 1 - June 30) and easy coding system
Efficient calendar format makes tracking absences quick and convenient
Reverse side includes plenty of space to record notes and warnings
ComplyRight Expandable Confidential Personnel Envelo-File® (A0720)
Item #: 901-1949187
1.5" spine gives extra room for documents
Size: 11.75" x 9.5" x 1.5"
Protects legally sensitive documents
ComplyRight™ Michigan Job Application, Pack of 50 (A2179MI)
Item #: 901-1949607TFP
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 Proposals, Classic Design, Large Format, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,250/Pack
Item #: 901-D1183
Customer sign-off line & professionally worded disclaimer prevent misunderstandings about acceptance & terms of proposal
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo or custom logo
ComplyRight Payroll Status Change Notice, Pack of 50 (A2172)
Item #: 901-2548976
Provides written record of what is changing about status and why
Attorney-developed to ensure 100% compliance
Features ComplyRight™ tips for optimal, compliant use
ComplyRight™ HIPAA Protecting Patient Privacy Poster (A2126)
Item #: 901-728247
Communicates mandatory HIPAA rules to healthcare employees
Educates employees on how and when patient's medical information may be disclosed and what to do if a breach occurs
Poster size 12 x 18"
Custom All-Purpose Excuse Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131521R
Excuse forms for work or school
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Release to School / Work Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131071R
Return to work or school forms
4" W x 5-1/2" L
White 20# text stock; printed in black ink
