Page 29 of hcfa cms 1500 health insurance business forms
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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
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
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
Staples Columnar Book, 50 Pages, Green (217885)
Item #: 901-217885
Columnar book is ideal for accounting and record keeping
Green-tinted paper with green and black lines
Includes 50 pages with 12 columns
$23.99
Per each
Staples Ledger Book, Black, 150 Sheets/Book (217679)
Item #: 901-217679
This Ledger book provides a profession look while keeping track of all important transactions
Black cover with burgundy spine and corners
150 pages, faintly ruled with margin lines, 33 lines per page
$41.99
1 each
Save 5%
$39.99
2+ 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™ Application for Employment
Item #: 901-AR0374
Front has applicants personal information
Back covers previous employment and plain-language disclosures
Each form includes a free tip sheet with do's and don'ts for proper usage
$69.99
1-2 pack
($1.40/EACH)
Save 16%
$58.99
3+ pack
($1.18/EACH)
Wilson Jones Columnar Sheets, Ledger Paper, Ruled, 30 Lines, 20 Columns, Green Paper, 9 1/4" x 11 7/8", 100/Pk
Item #: 901-WG1020A
Double page format
20 columns
100 sheets/pack
$127.99
Per pack
($1.28/EACH)
Global Printed Products Notary Public Record Book, 8.5" x 11", Black/Tan, 2/Pack (GPP-0094-A)
Item #: 901-24626311
2-PACK SAVINGS - Save more when you buy the Global Printed Products Notary Journal, 8.5" x 11", 2-pack. Each Journal can hold up to 380 entries.
HARDCOVER - Our Notary Journals come in a black hardcover with a matte finish and gold embossed letters, the spine of our journals is reinforced with a tan binding.
DELUXE NOTARY JOURNAL - Our notary journals feature 4 Entries per page, numbered pages, numbered entries, a durable hardcover, and black page marking ribbon.
$33.99
Per pack
($17.00/EACH)
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
$22.99
1-2 pack
Save 13%
$19.99
3+ pack
Quill Brand® Columnar Book, 3-Columns, 80 Pages, Blue Marble (18847/26516)
Item #: 901-217737
Columnar book for record keeping
Gray marble and made of paper
Includes 80 single-format pages, comes with three columns per page, quad-ruled, 30 lines down per page
$14.99
Per each
Avery 4.75" Auto Park Tags, Manila, 500/Box (18670)
Item #: 901-903184
Sequentially numbered 1 to 500 in duplicate on top and bottom coupon.
"Retain this check" is printed in red on bottom only.
Reinforced patch with strong twine.
$51.99
Per box
Rediform Visitors Log Book, 50 Pages, Multicolor (9G620)
Item #: 901-9G620
Place a visitor book in your lobby or reception area to welcome guests or log those who have visited your business
Wire-bound book features multicolor cover and pages with blue print on white ledger paper
Includes 50 pages with 20 lines per page that provide a space for 1000 entries
$16.29
1-2 each
Save 14%
$13.99
6+ each
Global Printed Products Income & Expense Accounting Journal, 8.5" x 11", Black/Green, (GPP-0115)
Item #: 901-24629547
CLEAR PLASTIC PROTECTIVE COVER - The clear plastic cover not only safeguards your financial records from spills and wear but also allows for easy visibility of important data, ensuring your financial information is both protected and accessible.
DAILY AND WEEKLY TOTALS GRID - With dedicated sections for daily and weekly totals, this ledger book simplifies the process of tallying your income and expenses. Easily track your financial progress, identify trends, and make informed financial decis
ions. ...
ions. ...
$20.99
Per each
Custom Return to School / Work Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN131411R
Return to work or school forms
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
Custom Repair Orders, Garage, Carbon, Side-Stub, Large Format, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pk
Item #: 901-D6553
27 lines for parts & accessories, plus handy odometer in/out boxes & "Save Old Parts" question box for use when scheduling maintenance
Track customer acceptance: Signature line for customer authorization prevents disputes
Consecutively numbered for easy recordkeeping
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
Custom Bill of Lading - Large Carbonless, 4 Parts, 1 Color Printing, 8 1/2" X 11" ,250/Pack
Item #: 901-D62254
Meets regulations: These forms meet all D.O.T. and I.C.C. regulations
Generous description area: 17 description lines
Identify hazardous materials. Special section to identify hazardous materials
Staples Record Book, 300 Pages, Black (18658/26510)
Item #: 901-217695
Record book for keeping track of tons of information
Black cover with burgundy spine and corners for elegant look
Contains 300 numbered pages, faintly ruled with margin lines; 33 lines per page
$52.99
Per each
Custom Repair Tags, Service, Orange, Detachable Claim Check, 1 Color Printing, 3 1/8" x 5 1/2", 500/Pack
Item #: 901-D3041Q
Claim checks are detachable
Pre-strung 7# string included
Free personalization
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
Staples Record Book, Black, 300 Sheets/Book (217919)
Item #: 901-217919
Record book for keeping track of tons of information
Black cover with burgundy spine and corners features gold-stamped title for elegant look
Contains 300 numbered pages, faintly ruled with margin lines, 40 lines per page
$39.99
1-3 each
Save 5%
$37.99
4+ each
Staples Record Book, 7.25" x 11.75", Black/Burgundy (ST26513)
Item #: 901-217687
Keep records, create lists, and write other notes with this classic-look journal
Black hardcover with a burgundy spine and corners
Contains 150 numbered, wide ruled 7.25"W x 11.75"H pages, while blue and red lines make it easy to keep writing organized on each sheet
$26.99
Per each
Wilson Jones Columnar Sheets, Ledger Paper, Ruled, 30 Lines, 6 Columns, Green Paper, 9 1/4" x 11 7/8", 100/Pk
Item #: 901-508497
9 1/4" x 11 7/8"
100 sheets
30 lines per page, 6 columns
$127.99
1-2 pack
Save 24%
$96.99
3+ pack