Page 28 of hcfa cms 1500 health insurance business forms
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Custom Cash Receipt Book, 4-to-a-page, Duplicate, 300 Sets/Book
Item #: 901-TCRB1142
4-Up
Duplicate
300 sets per book
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1203
4-Up
Triplicate
200 sets per book
Custom Work Orders, Carbon, Large Format, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D2443
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
Custom Service Orders, HVAC, w/Checklist, Large Format, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D65313
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.
Custom Plumbing Work Orders - Side-Stub, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pack
Item #: 901-D65353
Sturdy: Last part is sturdy manila tag
Authorized signature line included
Consecutively numbered for easy recordkeeping
Custom Repair Orders, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pack
Item #: 901-D6583A3
Authorized signature line included
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo or custom logo
Custom Service Orders, HVAC, Large Format, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pk
Item #: 901-D65323
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 Classic Large Sales Orders, 4 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D534
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 Service Stations Sales Books 3 Parts, 1 Color Printing, 3 3/8" x 5 1/8", 1000/Pack
Item #: 901-D513
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 9 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 Additional Work Authorizations, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,250/Pack
Item #: 901-D1203
Authorized signature line included
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo or custom logo
Custom Service Orders - with Claim Check and Carbons 2 Parts, 1 Color Printing, 4 1/4" x 7 1/4",500/Pack
Item #: 901-D3052
Customer signature area: Back side of last part has space for comments & Promissory Note for customers to sign
Handy: Detachable claim checks
Durable: Last part is durable tag stock
Custom Contractor Invoice - Itemized Invoice for Large Jobs, 2 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D2092
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo or custom logo
Imprint Color: Black
Custom Work Orders, Side-Stub, Carbonless, Large Format, 2 Parts, 1 Color Printing, 11" X 8 1/2" ,250/Pack
Item #: 901-D65452
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.
Custom Work Orders, Carbonless, Large Format, 2 Parts, 1 Color Printing, 8 1/2" X 11" ,250/Pack
Item #: 901-D65442
25 lines for materials, plus space for labor, description of work & other costs
Last part is durable tag stock, useful for tracking jobs & calculating profit.
Track customer acceptance: Signature line for customer authorization prevents disputes
Custom Classic Large Sales Orders, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D533
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
National Brand Canvas Tuff Series Record Book, 7.63" x 12.13", Green, 150 Sheets/Book (A66300R)
Item #: 901-A66300R
Book for records and daily schedules
Canvas hardcover in green
Includes 300 numbered pages with blue ruling and margin
Rediform Visitor Book, 9.88" x 8.5", Burgundy, 64 Sheets/Book (57-803)
Item #: 901-57803Q
Keep track of visitors with this efficient visitor register book
High-quality hardcover in burgundy color
Includes 128 numbered pages of premium white paper with 14 lines per page
Medical Arts Press® Financial Agreement and Insurance Assignment; 4x5-1/2" Bond Non-Personalized
Item #: 901-33404
100 sheets per pad
Pad size: 4 x 5-1/2 inches
Quill Brand® 9.5" x 11" Continuous Form Paper, 18 lbs., 92 Brightness 2550 Sheets/Carton (710608)
Item #: 901-710608
Continuous form bond paper
Paper weight: 18 lbs.
Size: 9-1/2x11" (8-1/2" width with carrier strips removed)
Custom High-Impact, Medium Sales Books 3 Parts, 1 Color Printing, 4 1/4" x 7", 500/Pack
Item #: 901-D633
Consecutive numbering available
Get the details: 11 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
Custom Multi-Purpose Sales Books, Classic Design, Pocket Size, 2 Parts, 1 Color Printing, 3 3/8" x 5 1/8", 500/Pack
Item #: 901-D502
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
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1143
4-Up
Triplicate
200 sets per book
Custom Continuation Notes, 8-1/2" x 11", 500 Sheets per Pack
Item #: 901-QFW2013X01
For use in patient charts and files
8-1/2" W x 11" L
60# text stock, pre-printed in black ink; available in pink, yellow, green, and blue for setting up a color-coding system
Wilson Jones Minute Record Book, 9.3"W x 11.6"H, Black, 250 Sheets/Book (W0395-11)
Item #: 901-2660936
Black handbound imitation leather cover with gold-tooled spines
Includes 250 letter-size sheets: 8.5"W x 11"L
Overall dimensions: 9.3"W x 11.6"H x 1.7"D
