Page 30 of hcfa cms 1500 health insurance business forms
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Custom Sales Books - Medium Classic, with Carbons, 2 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D25012
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
Custom Packing List, 2 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 250/Pack
Item #: 901-DRF66002
Efficient! Capture all required shipping information
Easy quality control: Identify all employees packing and checking
Get the details: 12 description lines
Custom Multi-Purpose Sales Books, Classic Design, Medium Format 2 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D25092
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
Custom Carbonless 2-Part All-Purpose Excuse Slips, 4" x 5-1/2", 50 Sets per Pad
Item #: 901-QFN131241R
Excuse forms for injuries and illnesses
4" W x 5-1/2" L
2-part, white/canary, carbonless; printed in black ink
Custom Return to Work Recommendation Slips, 8-1/2" x 11", 100 Sheets per Pad
Item #: 901-QFN105641R
Restriction information for patients to share with work or school
8-1/2" W x 11" L
White 20# text stock; printed in black ink
Custom Product Invoices, Laser, 3 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D13055G3
Time saver: Preprinted columns save time, ensure greater accuracy
Consecutive numbering available
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Product Invoices, Continuous, 3 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D130513
Time saver: Preprinted columns save time, ensure greater accuracy
Consecutive numbering available
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Multi-Purpose Sales Books, Classic Design, Large Format, 4 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D554
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, 4 Parts, 1 Color Printing, 8 1/2" x 7", 500/Pack
Item #: 901-DR12004
Get the details: Special section to identify hazardous materials
Promote your business: Personalization includes your imprint with choice of typeface
Imprint Color: Black
Custom Packing List, 4 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 250/Pack
Item #: 901-DRF66004
Efficient! Capture all required shipping information
Easy quality control: Identify all employees packing and checking
Get the details: 12 description lines
Custom Classic Lined Statements, Carbonless, 2 Parts, 1 Color Printing, 6 3/8" x 8 1/2", 250/Pack
Item #: 901-D4962
Simple statement perfect for any business
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Imprint Color: Black
Custom Multi-Purpose Sales Books, Colors Design, Medium Format, 2 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D2509T2
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
Custom High Security Santa Fe Gift Certificates - Booked with Duplicate, 1 Color Printing, 7 3/4" x 3 3/8", 100/Pack
Item #: 901-HSD856B2
Every certificate has chemically sensitive paper; a security screen and a clearly worded warning
A multi-dimensional foil seal is hot-stamped on back; offering seven security features
Comes with matching envelopes and display sign
Custom Happy Holidays Tax Form Gift Wrap Cards, with Envelopes, 7-7/8" x 5-5/8", 25 Cards per Set
Item #: 901-QUN54902FC
7-7/8" x 5-5/8" Folded Holiday Card; White Smooth 120# Cardstock
Pack includes 25 printed cards and 25 foil lined fastick envelopes; printed envelopes available for an additional charge at checkout
Compose your own message or choose from a large selection of seasonal verses
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
Custom Privacy Sign-In Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN103111R
For patient sign in use
5-1/2" W x 4" L
White 20# text stock; printed in black ink
Custom Snap Apart Sales Slips, 4 part, 8-1/2" x 5-2/3", 500 Sheets
Item #: 901-TGSCC6524
4-part carbonless
Sales slip measures 8-1/2"Hx5-2/3"W
500 loose sheets
ComplyRight Concealed Cover Confidential Employee Record Folder, Pack of 25 (A0653)
Item #: 901-2549003
Item #: 901-2549003
Two spacious pockets provide additional storage room for documents
Specific information can be recorded right on the pockets
Attorney developed and approved to ensure 100% compliance
ComplyRight Employee Attendance Records Organizer, Pack of 25 (A0308)
Item #: 901-2549006
Item #: 901-2549006
Space for confidential information is concealed on the inside of the folder
Attorney developed and approved to ensure 100% compliance
Package of 25 folders
Custom 3-On-A-Page Business Size Checks, Side-Tear Voucher, Standard Color, 1 Ply, 1 Color Printing, 8.25" x 3", 250/Pk
Item #: 901-53220N1S
Black ink imprint
24# Check Stock
Check Size: 8-1/4" x 3"Voucher Size: 4-11/16" x 3"
Adesso Tru-Form Wired Keyboard, Black (AKB-450UB)
Item #: 901-IM19U0288
Item #: 901-IM19U0288
Membrane key switches are great for divisions like industrial controls and telecommunications systems. They offer a low profile, engaging typing and a longer lifespan.
USB connectivity for a easy connection with your Computer
Touchpad offers stable left-right clicks, scrolling, dragging, zooming and much more
Belkin SoundForm Mini Wireless On-Ear Headphones, Bluetooth, Black (AUD002BTBKV3)
Item #: 901-24623183
Item #: 901-24623183
These On-Ear Headphones are designed specifically for children. Perfect for listening to music, watching videos, or playing games.
can be used in both wireless and wired modes. When used wirelessly, they have an operational range of approximately 30 feet
utilize Bluetooth 5.0 for reliable and efficient wireless connectivity.
ComplyRight 1-Part Personnel Folder, 25/Pack (A222)
Item #: 901-1949183
Item #: 901-1949183
Expandable confidential personnel folder protects legally sensitive information
One-part personnel folder
Contains 25 files per package
ComplyRight Employee Warning Notice, Pack of 50 (A2311)
Item #: 901-2548932
Item #: 901-2548932
Includes action to be taken, as well as explains the consequences of repeat offenses
Includes ComplyRight™ tips for optimal, compliant use
Pack of 50 forms
Add to cart QViewInfoHolder