Page 31 of hcfa cms 1500 health insurance business forms
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Adesso Tru-Form Wireless Keyboard, Black (WKB-4500UB)
Item #: 901-IM12GZ132
Item #: 901-IM12GZ132
Membrane key switches are great for divisions like industrial controls and telecommunications systems. They offer a low profile, engaging typing and a longer lifespan.
The RF wireless connectivity helps reduce the clutter of wires
Touchpad pointing device is great for dragging the files and folders as well as scrolling through the documents and web pages
Custom Laser Middle Check, 1 Ply, 1 Color Printing, Prem Check Designs, 8-1/2" x 11", 500/Pk
Item #: 901-DLM1021P1C
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
ComplyRight™ Confidential Employee Payroll Records Folder, Pack of 25 (A2317)
Item #: 901-2548998
Item #: 901-2548998
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Extended tab on folder helps easily locate employees from file cabinets
Custom 3-On-A-Page Business Size Checks, Side-Tear Voucher, Premium Color, 1 Ply, 1 Color Printing, 8.25" x 3", 250/Pk
Item #: 901-53220N1P
Black ink imprint
24# Check Stock
Check Size: 8-1/4" x 3"Voucher Size: 4-11/16" x 3"
Custom 2-Sided Progress Notes, 8-1/2" x 11", 3-Hole Side Punched, 24# White Stock, 250 Sheets per Pack
Item #: 901-QFN106481R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink with mylar reinforced hole punches
Rediform Money Receipt Books, Carbonless, 2 Parts, 2 3/4" x 5", 50 Sheets (8L820)
Item #: 901-2675655
Item #: 901-2675655
Size: 2 3/4" x 5"
50 forms per book
Binding: Bound
$16.99
Per each
Custom 3-On-A-Page Business Size Checks, Side-Tear Voucher, Standard Color, 2 Ply/Duplicate, 1 Clr Printing, 8.25" x 3", 250/Pk
Item #: 901-53220N2S
Black ink imprint
Part 1: 24# Check StockPart 2: 22# White Stock
Check Size: 8-1/4" x 3"Voucher Size: 4-11/16" x 3"
ComplyRight Payroll Change Notice, 3-Part, Small, Pack of 50 (A2173)
Item #: 901-2548966
Item #: 901-2548966
Includes ComplyRight™ tips for optimal, compliant use
Size: 5.5" x 8.5"
Pack of 50 forms
ComplyRight™ Application for Employment
Item #: 901-AR0374
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
ComplyRight Separation Records Organizer, Pack of 25 (A0313)
Item #: 901-2549004
Item #: 901-2549004
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 High Security Business Size Checks, Side-Tear Voucher, 1 Ply, 1 Color Printing, 8.25" x 3", 250/Pk
Item #: 901-53220DS1
Black ink imprint
25# Security Check Stock
Check Size: 8-1/4" x 3"Voucher Size: 4-11/16" x 3"
Adams® Home and Office Budget Record Journal, Ruled, Blue (AFR31)
Item #: 901-584361
Item #: 901-584361
Paper is white and blue in color, and the cover is made of polypropylene
30 sheets featuring 64 forms
Dimensions: 10" x 7"
$22.99
Per each
ComplyRight Federal (Bilingual), State and Local (English) Labor Law 1-Year Poster Service, Alabama (U1200CSLCBOAL)
Item #: 901-24675276
Item #: 901-24675276
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 2-Sided Progress Notes, 8-1/2" x 11", 24# White Text Stock, 250 Sheets per Pack
Item #: 901-QFN106411R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
Belkin SoundForm Adapt Noise Canceling Bluetooth Headset, USB-C/3.5 mm (AUD005BTBLK)
Item #: 901-IM1HN2295
Item #: 901-IM1HN2295
Comfortable wireless headset is perfect for working from home, working remotely, casual gaming and more
Compatible with phones, tablets and laptops with Bluetooth audio
Connects wirelessly to any compatible device via Bluetooth 5.2 (with up to 30' operational distance)
ComplyRight Payroll Status Change Notice, Pack of 50 (A2172)
Item #: 901-2548976
Item #: 901-2548976
Provides written record of what is changing about status and why
Attorney-developed to ensure 100% compliance
Features ComplyRight™ tips for optimal, compliant use
Custom Booked Deposit Tickets, Classic Design, 2-Part, Black ink only, 8-7/8" x 3-3/8", 4 Books/Pack, 150 Tickets/Pack
Item #: 901-1000182
Convenient! Booked format, printed with your name, address and account number
Industry-best deposit tickets meet or exceed all bank standards for MICR processing, with guaranteed compatibility on today's latest technologies
Accommodate 17 check entries on front, 34 check entries on the back of ply 1
TOPS Employee Record File Straight Cut, 20/Pack (TOP 3287)
Item #: 901-3287
Item #: 901-3287
Employee personal files include all you need to build a complete employee record
20 personal files per pack
Comes in white with green ink
Custom Carbonless 2-Part Equine Superbills, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFN103481R
Use to provide costs and services to patients
8-1/2" W x 11" L
2-part, white/canary, carbonless; printed in black ink
Custom Laser Top Checks, Unlined, 1 Ply, 1 Color Printing, Standard Check Color, 8-1/2" x 11", 500/Pk
Item #: 901-DLT1041S1C
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
2 blank tear-off vouchers have plenty of room to document transactions for you & your employee or vendor
Sheet format fits all standard laser & inkjet printers
Dome Notary Public Record Book, 500-Entry, Red (880)
Item #: 901-880
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
Custom Laser Top Checks, Lined, 1 Ply, 1 Color Printing, Standard Check Color, 8-1/2" x 11", 500/Pk
Item #: 901-DLT1031S1C
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
2 blank tear-off vouchers have plenty of room to document transactions for you & your employee or vendor
Sheet format fits all standard laser & inkjet printers
Staples Columnar Books, 100 Pages, Green, 2/Pack (217844ABF)
Item #: 901-217844
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)
Custom Booked Deposit Tickets, Quick Entry Format, 2-Part, Black ink only, 8-7/8" x 3-3/8", 4 Books/Pack, 150 Tickets/Pack
Item #: 901-1000502
Convenient! Booked format, printed with your name, address and account number
Industry-best deposit tickets meet or exceed all bank standards for MICR processing, with guaranteed compatibility on today's latest technologies
Accommodate 3 entries on front, 34 check entries on the back of ply 1
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