Page 32 of hcfa cms 1500 health insurance business forms
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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 Carbonless Itemized Service and Appointment Slips, 3-1/4" x 5", 100 Sheets per Pad
Item #: 901-QFW1301501
Self-duplicating; everything is printed on original and duplicate, including consecutive numbers
Pads are 6-5/8" W x 5" L; detached slips are 3-1/4" W x 5" L
White self-duplicating carbonless stock; pre-printed in black ink
Custom Service Orders, HVAC, w/Checklist, Large Format, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pk
Item #: 901-D65013
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 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
Staples Dollar and Cent Accounting Journal, 144 Pages, Brown (182022ABF)
Item #: 901-182022
This accounting journal is designed to document your cash flow and finances
Comes with brown cover and includes pages of white paper with blue and red lines
Compact book provides 144 pages with single-entry ledger rulings
$9.99
1-3 each
Save 10%
$8.99
4+ each
Rediform Visitor Book, 9.88" x 8.5", Black, 64 Sheets/Book (RED57802)
Item #: 901-909724
Place a visitor book in your lobby or reception area to welcome guests or log those who have visited your business
Includes pages of white recycled paper within high-quality black hardcover
Each sheet includes 14 lines per page for 1792 total entries on 128 pages
$51.99
Per each
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)
$94.59
Per carton
Wilson Jones Ledger Paper, 24 Columns, 11" x 14", Green, 100 Sheets (WLJG3024)
Item #: 901-2660911
11" x 14"
100 sheets
36 lines per page, 24 columns
$129.99
1-2 each
Save 15%
$109.99
3+ each
ComplyRight™ Confidential Employee Payroll Records Folder, Pack of 25 (A2317)
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
$126.99
Per each
Quill Brand® 2 Columns Columnar Book, 7.25"W x 9.5"H, Gray Marble (18846/26515)
Item #: 901-217729
Gray marble-look cover
Includes 80 single-format pages, comes with two columns, quad-ruled
Overall dimensions: 7.25"W x 9.5"H
$21.99
Per each
Custom Small Format Bills of Lading with Carbon, 3 Parts, 1 Color Printing, 8 1/2" x 7", 1000/Pack
Item #: 901-D1263
Get the details: Special section to identify hazardous materials - these forms meet all D.O.T. and I.C.C. regulations
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint with choice of typeface
Quill Brand® 9.5" x 11" 4 Part Form Paper, 15 lbs., 92 Brightness, 850 Sheets/Carton (710754)
Item #: 901-710754
4-part form paper produces letter-size originals and three copies fast and fuss-free
Paper weight: 15 lb. white top sheet, 15 lb. bottom sheets
8-1/2x11" without carrier strips (9-1/2x11" with 1/2" standard perforated carrier strips)
$258.09
Per carton
Custom Classic, Compact Invoices 2 Parts, 1 Color Printing, 5 2/3" x 7", 500/Pack
Item #: 901-D1142
Compact, yet there's room to include all the information your customers need to pay promptly
Compact invoices are ideal for smaller orders
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
Custom Small Lined Invoices, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D108T4
Get the details: Includes 13 description lines on this lined form to record the invoice details
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Instruction Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN132171R
Use for patient care instructions
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Progress Notes, 8-1/2" x 11", 60# White Stock, 250 Sheets per Pack
Item #: 901-QFW2058501
For use in patient charts and files
8-1/2" W x 11" L
White 60# text stock, pre-printed in black ink
Custom Graph Papers, Pro-Sketch, 1/8", Padded, 1 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D2071
Get the details: Lines at top of each sheet to list project dates & details
Stay organized: 50 sheets per pad; ruled in 1/8" non reproducing blue grid when copied
Numbering not available
Custom Instruction Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN160701R
Use for notes or messages
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
Custom Service Stations Sales Books 2 Parts, 1 Color Printing, 3 3/8" x 5 1/8", 1000/Pack
Item #: 901-D512
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
Medical Arts Press Periodontal Chart; Rainbow FormFamily (10008)
Item #: 901-10008
100 sheets per package
Size: 8-1/2" x 11"
Form Printed on 1 Side
$31.99
Per pack
($0.32/EACH)
Boorum & Pease 66 Series Record Book, 7.63"W x 12.13"H, Blue, 150 Sheets/Book (66-300-J)
Item #: 901-66300J
Blue canvas cover with journal title
Includes 300 numbered pages
Overall dimensions: 7.63"W x 12.13"H
$78.99
1-5 each
Save 23%
$60.99
6+ each
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
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
$452.99
Per each
Wilson Jones Minute Record Book, 9.3"W x 11.6"H x 1.7"D, Red (W0396-11)
Item #: 901-507995
Red hand-bound imitation leather cover with gold-tooled spines
Overall dimensions: 9.3"W x 11.6"H x 1.7"D
Professional minute book protects confidential information and maintains organization of records
$420.99
1-2 each
Save 10%
$380.99
3+ each
