Page 28 of hcfa cms 1500 health insurance business forms
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ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)
Item #: 901-2548999
Lets you record basic information on the outside, confidential data on the inside
Comes in distinctive blue color to distinguish medical records from other personnel file
Attorney developed and approved to ensure 100% compliance
$93.99
Per each
Custom Work Orders, Side-Stub, Carbonless, Large Format, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,250/Pack
Item #: 901-D65453
Perforated invoice detaches from materials list
31 lines for material costs, plus 16 lines for work & labor descriptions
Last part is durable tag stock, useful for tracking jobs & calculating profit.
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
$102.99
1-2 each
Save 7%
$95.99
3+ each
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
ComplyRight Wisconsin Job Application, Pack of 50 (A2179WI)
Item #: 901-1949686TFP
Written by Employment Attorneys to ensure compliance in all 50 states
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
$76.99
1-2 each
Save 5%
$72.99
3+ each
ComplyRight Minnesota Job Application, Pack of 50 (A2179MN)
Item #: 901-1182881EDI
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
$76.49
1-2 pack
Save 16%
$63.99
3+ pack
ComplyRight™ Ohio Job Application, Pack of 50 (A2179OH)
Item #: 901-1182986EDI
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
$80.99
1-2 pack
Save 16%
$67.99
3+ pack
ComplyRight™ Iowa Job Application, Pack of 50 (A2179IA)
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
$57.99
Per each
Custom Service Orders, HVAC, w/Checklist, Large Format, 4 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D65014
EPA checklist ensures you're in compliance with regulations on every job
Lots of checkboxes & specialized fields let you write up every job quickly & include all the details
Last part is durable tag stock, useful for tracking jobs & calculating profit.
ComplyRight™ Pennsylvania Job Application, Pack of 50 (A2179PA)
Item #: 901-1949692TFP
Written by Employment Attorneys to ensure compliance in all 50 states
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
$55.99
1-3 each
Save 5%
$52.99
4+ each
ComplyRight™ Tennessee Job Application, Pack of 50 (A2179TN)
Item #: 901-1949689TFP
Written by Employment Attorneys to ensure compliance in all 50 states
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
$71.99
Per each
Rediform 4-Part Carbonless Purchase Requisitions, 8.5"L x 11"W, 50 Sets/Book (RED4P489)
Item #: 901-2658621
Auto Repair Order Speediset, 4-Part
Consecutively numbered for job tracking
Two-color printing on original
$44.59
1-9 pack
Save 17%
$36.99
10+ pack
Custom Referral for Treatment Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN160601R
Referral forms for physicians
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
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
$24.99
1-3 each
Save 16%
$20.99
4+ each
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
$11.99
1-6 each
Save 8%
$10.99
7+ each
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
$26.99
Per pack
($13.50/EACH)
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
$21.99
Per pack
($11.00/EACH)
Dome Monthly Bookkeeping Record, 8.75" x 11.25", Brown (612)
Item #: 901-612
Cash record keeping system for small businesses
Brown cover with wire binding
Overall dimensions: 8.75"W x 11.25"H
$31.99
Per each
National Brand Canvas Tuff Series Record Book, 7.63" x 12.13", Green, 250 Sheets/Book (A66500R)
Item #: 901-A66500R
Book for records and daily schedules
Canvas hardcover in green
Includes 500 numbered pages with blue ruling and margin
$77.99
Per each
Custom Garage Repair Orders, Booked 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D25453
Take complete orders: Preprinted areas for vehicle information, description of work, labor and more
Track customer acceptance: Signature line for customer authorization prevents disputes
Stay organized: Bottom copy stays bound in book for a permanent record; 50 sets per book
Wilson Jones Ledger Paper, Balance Ledger, 9 1/4" x 11 7/8", Green, 100 Sheets (WLJGN2D)
Item #: 901-GN2D
9 1/4" x 11 7/8"
100 sheets
Balance ledger
$62.99
Per pack
($0.63/EACH)
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
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
$24.99
Per each
