Page 32 of hcfa cms 1500 health insurance business forms
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Custom Laser Top Checks, Lined, 1 Ply, 1 Color Printing, Prem Check Designs, 8-1/2" x 11", 500/Pk
Item #: 901-DLT1031P1C
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
Custom Disability Certification Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN131011R
Certification of diability forms for patient use
5-1/2" W x 4" L
White 20# text stock; printed in black ink
Custom Financial Agreement Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN134041R
Payment responsibility forms
5-1/2" W x 4" L
White 20# text stock; printed in black ink
Wilson Jones Ledger Paper, Balance Ledger, 9 1/4" x 11 7/8", Green, 100 Sheets (WLJGN2D)
Item #: 901-GN2D
Item #: 901-GN2D
9 1/4" x 11 7/8"
100 sheets
Balance ledger
$62.99
Per pack
($0.63/EACH)
Dome Auto Mileage Log Record Book, 3.25" x 6.25", Gray (770)
Item #: 901-219022
Item #: 901-219022
Easy to use log to provide records for those who use their automobile for business purposes
Comes with gray cover
Overall dimensions: 3.25"W x 6.25"H
$11.99
1-6 each
Save 8%
$10.99
7+ each
Custom Disability Certification Slips, 8-1/2" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN132131R
For certification of care
8-1/2" W x 5-1/2" L
White 20# text stock; printed in black ink
Medical Arts Press® Vet Cage Card; Pets Logo, 3x5", 250/Pack (20395)
Item #: 901-20395
Item #: 901-20395
Staples Columnar Books, 100 Pages, 6 Columns, Green, 2/Pack (217869)
Item #: 901-217869
Item #: 901-217869
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 6 columns
$26.99
Per pack
($13.50/EACH)
Custom High Security Lined Laser Top Check, 1 Ply, 1 Color Printing, 8-1/2" x 11", 500/Pk
Item #: 901-SDLT10311C
NEW Security Features! Anti-Copy Technology. High Security Checks are made with technology to prevent most copiers from creating a usable copy
Safety Hologram: Multi-dimensional foil seal hot stamped to check stock cannot be photocopied and includes 7 security features
Visible Security Features: Heat-sensitive ink, chemical-wash detection area and, true watermark
Custom Booked Deposit Tickets, Maximum Entry Format, 2-Part, Black ink only, 8-7/8" x 3-3/8", 4 Books/Pack, 150 Tickets/Pack
Item #: 901-1000582
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 28 check entries on front, 34 check entries on the back of ply 1
Custom Booked Deposit Tickets, Classic Design, 1-Part, Black ink only, 8-7/8" x 3-3/8", 2 Books/Pack, 150 Tickets/Pack
Item #: 901-1000181
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
Custom High Security Laser Top Check, 1 Ply, 1 Color Printing, 8-1/2" x 11", 500/Pk
Item #: 901-SDLT10411C
NEW Security Features! Anti-Copy Technology. High Security Checks are made with technology to prevent most copiers from creating a usable copy
Safety Hologram: Multi-dimensional foil seal hot stamped to check stock cannot be photocopied and includes 7 security features
Visible Security Features: Heat-sensitive ink, chemical-wash detection area and, true watermark
Staples 13 Columns Columnar Book, 16.31"W x 11"H, Green (217893)
Item #: 901-217893
Item #: 901-217893
Green tinted paper
Includes 50 single-format pages with 13 columns
Overall dimensions: 16.31"W x 11"H
$27.49
Per each
Staples® Columnar Books, 100 Pages, Green, 2/Pack (217851ABF)
Item #: 901-217851
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
$25.29
1-2 pack
Save 13%
$21.99
3+ pack
Custom 3-To-A-Page Laser Checks, Lined, 1 Ply, 1 Color Printing, Standard Check Color, 8-1/2" x 11", 300/Pack
Item #: 901-DLA1041S1C
Compatible with Quicken®, Quicken® Deluxe, Quicken® Home & Business, QuickBooks®, QuickBooks Pro® & Microsoft® Money, plus many other accounting 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
Save paper & toner (storage space, too) with 3-to-a-page design
ComplyRight Federal, State and Local Labor Law 1-Year Poster Service, Bilingual, New Mexico (U1200CSLCBANM)
Item #: 901-24675576
Item #: 901-24675576
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.
ComplyRight™ Personnel Pocket File Folder, Pack of 25 (A1202)
Item #: 901-1949182
Item #: 901-1949182
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 employee from file cabinets
ComplyRight New Mexico Job Application, Pack of 50 (A2179NM)
Item #: 901-1949602TFP
Item #: 901-1949602TFP
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
Custom Dental Responsibility and Consent Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131311R
For use gaining authorization for services
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Laser Middle Check, 1 Ply, 1 Color Printing, Standard Check Color, 8-1/2" x 11", 500/Pk
Item #: 901-DLM1451S1C
Compatible with Peachtree® Versions 2006 & Newer and many more
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
Custom Dental Extraction Instruction Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131161R
Use to convey instructions to patients
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Traveler, Business Size Portable Checks, 1 Ply, 1 Color Printing, 8.25" x 3", 40/Pack
Item #: 901-59000N1
Black ink imprint
24# Check Stock
Check Size: 8-1/4" x 3"
Global Printed Products Business Expense Accounting Journal, 8.5" x 11", Black/Blue, (GPP-0116)
Item #: 901-24629548
Item #: 901-24629548
CLEAR PLASTIC PROTECTIVE COVER - Safeguard your financial records while maintaining easy visibility. The clear plastic cover shields your data from damage and wear, ensuring your financial information remains secure and accessible.
DAILY AND WEEKLY TOTALS GRID - Effortlessly calculate your daily and weekly expenses with dedicated grids. Stay on top of your spending patterns and gain insights into your financial habits for better decision-making.
MONTHLY TOTALS SPREAD - The monthly totals spread simplifies month-end financial assessments. Quickly review your expenses and income for each month, allowing you to identify trends and plan for the future.
Custom Insurance Authorization Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN131491R
For insurance authorizations
5-1/2" W x 4" L
White 20# text stock; printed in black ink
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