Page 25 of hcfa cms 1500 health insurance business forms
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Custom Classic Design, Lined Small Format Invoices, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D1084
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 Feline Pet Treatment Records, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFW2056301
Pet health record form
8-1/2" W x 11" L
Green 110# card stock, pre-printed in black ink
ComplyRight™ Florida Job Application, Pack of 50 (A2179FL)
Item #: 901-1182914EDI
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 Repair Orders - Expanded Carbonless, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pack
Item #: 901-D65813
Generous description area: Special section to itemize sub-contract work & more
Authorized signature line included
Consecutively numbered for easy recordkeeping
Custom Service Orders, HVAC, Large Format, 4 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D65324
EPA checklist ensures you're in compliance with regulations on every job
Last part is durable tag stock, useful for tracking jobs & calculating profit.
Track customer acceptance: Signature line for customer authorization prevents disputes
Custom Referral for Treatment Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN132181R
Referral forms for physicians
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Job Work Orders, Booked, 2 Parts, 1 Color Printing, 5" x 8", 500/Pack
Item #: 901-D6558B2
Manage accounts: High quality job work order forms record costs and make invoices easy
Get the details: Extra-large work description area, including 13 lines for detailed write-ups
Track customer acceptance: Signature line for customer authorization prevents disputes
Custom Classic Design, Lined Small Format Invoices, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D1083
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, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D62054
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 2 Parts, 1 Color Printing, 5 2/3" x 7", 500/Pack
Item #: 901-D1142
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
Dome Notary Public Record Book, 500-Entry, Red (880)
Item #: 901-880
Easy-to-use, compliant, and comprehensive notarial record keeping system for households and individuals
Red cover for incredible look
Sewn and numbered pages for added security
Quill Brand® Special-Size 3 Part Carbonless Forms, 9-1/2x5-1/2", 1,000/CT (9353)
Item #: 901-710837
Use Quill Brand special-size multi-part carbonless forms when you need multiple copies of the same form
Size: 9-1/2x5-1/2"; 8-1/2x5-1/2" without the carrier strips
3-part forms: white top sheet, canary-colored second sheet and pink third sheet
Staples Columnar Books, 100 Pages, Green, 2/Pack (217844ABF)
Item #: 901-217844
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 4 columns
Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns, 50 Sheets/Pad, 10 Pads/Pack (95141)
Item #: 901-745804
20-lb. ledger green paper
50 numbered lines, every fifth horizontal line heavily ruled as line guide
10,000,000 units per column
$84.99
1-3 pack
($8.50/EACH)
Save 19%
$68.99
4+ pack
($6.90/EACH)
Staples Columnar Books, 100 Pages, 6 Columns, Green, 2/Pack (217869)
Item #: 901-217869
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 6 columns
Dome Auto Mileage Log Record Book, 3.25" x 6.25", Gray (770)
Item #: 901-219022
Easy to use log to provide records for those who use their automobile for business purposes
Comes with gray cover
Overall dimensions: 3.25"W x 6.25"H
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
Custom 4-in-1 Repair Tags w/ Claim Check & Carbons, 1 Color Printing, 3 1/8" x 9", 1000/Pack
Item #: 901-3002DQ
Detachable claim ticket
Tags are pre-strung with 8" string
Tags are pre-numbered
Alliance T4997SP, 2part, Carbonless, Tan, 15 Line, Guest Checks, Case of 2000
Item #: 901-1641003
Tan
4.25" x 8.5
Case of 2000
Custom Auto Body Repair Orders, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,250/Pack
Item #: 901-D65973
Durable: Last part is durable tag stock
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo or custom logo
Staples 13 Columns Columnar Book, 16.31"W x 11"H, Green (217893)
Item #: 901-217893
Green tinted paper
Includes 50 single-format pages with 13 columns
Overall dimensions: 16.31"W x 11"H
Staples® Columnar Books, 100 Pages, Green, 2/Pack (217851ABF)
Item #: 901-217851
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 5 columns
Custom Classic Design, Large Format Shipping Invoices,4 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D1064
Generous description area: 22 description lines
Convenient snapset format
Create clean records: Carbonless forms stay tightly aligned for clear, clean copies
Clever Fox Check Register Book, 8.3" x 6.1", Dark Blue, 135 Sheets/Book (CF-CRS-DRKBLUE)
Item #: 901-24643232
A check book that makes a difference - Clever Fox check register book is an easy-to-use transaction log book designed to help you to track bank account balance; including savings & deposits.
Detailed financial tracking – a checkbook register for personal checkbook keeps finances in order, enabling the easy spotting and immediate addressing of any errors or fraudulent charges.
This checking register book (6.1"x8.3") features spiral binding, an elastic band, and a storage pocket for secure organization. It includes 3,968 entries (31 lines/page) across 135 pages.
