Page 26 of hcfa cms 1500 health insurance business forms
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ComplyRight Federal, State and Local Labor Law 1-Year Poster Service, Bilingual, New York (U1200CSLCBANY)
Item #: 901-24675577
Item #: 901-24675577
Initial shipment includes all mandatory federal, state and local employee postings required to be displayed by all employers.
Service also includes any individual posters (such as E-Verify, Right to Work, no smoking, workers? comp industry wage orders and Spanish postings) wherever required by law for all employers.
Annual fee includes 12 months of legal monitoring by our expert in-house legal team, and automatic poster replacements, at no extra cost, any time a mandatory change occurs ? including any newly issued postings.
ComplyRight Federal (Bilingual), State and Local (English) Labor Law 1-Year Poster Service, California (U1200CSLCBOCA)
Item #: 901-24675280
Item #: 901-24675280
Initial shipment includes all mandatory federal, state and local employee postings required to be displayed by all employers.
Service also includes any individual posters (such as E-Verify, Right to Work, no smoking, workers? comp industry wage orders and Spanish postings) wherever required by law for all employers.
Annual fee includes 12 months of legal monitoring by our expert in-house legal team, and automatic poster replacements, at no extra cost, any time a mandatory change occurs ? including any newly issued postings.
ComplyRight™ Texas Job Application, Pack of 50 (A2179TX)
Item #: 901-1182982EDI
Item #: 901-1182982EDI
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 2-Sided Progress Notes, 8-1/2" x 11", 24# White Stock, 250 Sheets per Pack
Item #: 901-QFN117571R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
ComplyRight™ Iowa Job Application, Pack of 50 (A2179IA)
Item #: 901-1949609TFP
Item #: 901-1949609TFP
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
ComplyRight Missouri Job Application, Pack of 50 (A2179MO)
Item #: 901-1949606TFP
Item #: 901-1949606TFP
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 Instruction Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN132171R
Use for patient care instructions
4" W x 5-1/2" L
White 20# text stock; printed in black ink
ComplyRight Federal, State and Local Labor Law 1-Year Poster Service, Bilingual, Nevada (U1200CSLCBANV)
Item #: 901-24675573
Item #: 901-24675573
Initial shipment includes all mandatory federal, state and local employee postings required to be displayed by all employers.
Service also includes any individual posters (such as E-Verify, Right to Work, no smoking, workers? comp industry wage orders and Spanish postings) wherever required by law for all employers.
Annual fee includes 12 months of legal monitoring by our expert in-house legal team, and automatic poster replacements, at no extra cost, any time a mandatory change occurs ? including any newly issued postings.
ComplyRight 2025-2026 Academic Year Attendance Calendar Cards, 50/Pack (A43005015)
Item #: 901-1949178TFP
Item #: 901-1949178TFP
Features an academic year calendar format (August 1 – July 31) and easy coding system
Efficient calendar format makes tracking absences quick and convenient
Reverse side includes plenty of space to record notes and warnings
Custom Record Release Authority Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN131091R
For use in patient charts
5-1/2" W x 4" L
White 20# text stock; printed in black ink
ComplyRight Federal (Bilingual), State and Local (English) Labor Law 1-Year Poster Service, Georgia (U1200CSLCBOGA)
Item #: 901-24675288
Item #: 901-24675288
Initial shipment includes all mandatory federal, state and local employee postings required to be displayed by all employers.
Service also includes any individual posters (such as E-Verify, Right to Work, no smoking, workers? comp industry wage orders and Spanish postings) wherever required by law for all employers.
Annual fee includes 12 months of legal monitoring by our expert in-house legal team, and automatic poster replacements, at no extra cost, any time a mandatory change occurs ? including any newly issued postings.
Custom Multi-Purpose Sales Books, Colors Design, Pocket Size, 2 Parts, 1 Color Printing, 3 3/8" x 5 1/8", 500/Pack
Item #: 901-D50T2
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 9 lines provide ample room so orders can fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record
Alliance 1-Part Carbonless Guest Checks, 3.4" x 6.73", 50 Sets/Book, 2/Carton (367401)
Item #: 901-2398426
Item #: 901-2398426
Green
3.4" x 6.73"
50 books of 50 per carton
Custom Laser Middle Check, 1 Ply, 1 Color Printing, Standard Check Color, 8-1/2" x 11", 500/Pk
Item #: 901-DLM1021S1C
Compatible with AccountMate®, ACCPAC®, BUSINESSWORKS™, Champion?, Cougar Mountain®, Form Magic®, Form Magic Deluxe®, Great Plains® Accounting Series, MAS90® & MAS200® software packages
Built-in check security trusted by 7,000 financial institutions nationwide, with features such as chemically sensitive paper, microprint border, erasure protection, security screen & warning box
Top & bottom tear-off vouchers include preprinted headings for a clear, detailed payment record
Rediform 2-Part Carbonless Purchase Requisitions, 4.25"L x 7"W, 50 Sets/Book (1L114)
Item #: 901-421005
Item #: 901-421005
Material requisition book is consecutively numbered for easy organization
Business form size: 4.25"L x 7.88"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$20.99
1-9 each
Save 19%
$16.99
10+ each
ComplyRight Confidential Personnel Folder Expanded, Pack of 25 (A224)
Item #: 901-2549343
Item #: 901-2549343
Extended-tab side allows for easy filing and quick retrieval
Expanded capacity provides double the storage capacity of our standard folder (1949180)
Attorney developed and approved to ensure 100% compliance
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
Alliance T4997SP, 2part, Carbonless, Tan, 15 Line, Guest Checks, Case of 2000
Item #: 901-1641003
Item #: 901-1641003
Tan
4.25" x 8.5
Case of 2000
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless- Custom
Item #: 901-13553
Item #: 901-13553
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
ComplyRight 2 Part Small Request for Time Off, Pack of 50 (A2203)
Item #: 901-2549338
Item #: 901-2549338
Attorney-approved to ensure 100% compliance
Pack of 50 forms
Clearly outlines who is requesting and who approves paid time off
Custom Multi-Purpose Sales Books, Classic Design, Large Format, 2 Parts, 1 Color Printing, 5.5" x 8.5"500/Pack
Item #: 901-D552
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 17 lines enable even the biggest orders to fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record
Custom Bills of Lading, Carbon, Small Format, 3 Parts, 1 Color Printing, 8 1/2" x 7", 500/Pack
Item #: 901-DR12003
Get the details: Special section to identify hazardous materials
Promote your business: Personalization includes your imprint with choice of typeface
Imprint Color: Black
Custom Purchase Orders, Classic Design, Booked, 3 Parts, 1 Color Printing, 6 3/8" x 8 1/2", 250/Pack
Item #: 901-D873
Get the details: Includes 12 lines for procurement items with plenty of space for terms, requisition numbers, stock & shipping information
Track customer acceptance: Signature line for customer authorization prevents disputes
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Sales Books - Medium Classic, with Carbons, 3 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D25013
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 12 lines provide ample room so orders can fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record; 50 sets per book
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