Page 19 of replacement forms for pegboard systems
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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
TOPS Petty Cash Receipt Book, 2.75"L x 5"W, 200/Pack (TOP4109)
Item #: 901-4109
Item #: 901-4109
Petty cash book is designed for cash payouts
Size: 2.75"L x 5"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$24.99
1-4 each
Save 8%
$22.99
5+ each
Adams Write 'N Stick Receipt Book, 2.75" x 5.38", White, 50/Pack (ABF DC2501WS)
Item #: 901-DC2501WS
Item #: 901-DC2501WS
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 5.38"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$8.99
1-2 each
Save 6%
$8.49
3+ each
Adams Carbon Rental Applications, 8.5" x 11", (LF255)
Item #: 901-571368
Item #: 901-571368
The easy-to-use, month-to-month rental agreement form allows you to lease residential property on a monthly basis, specifying all terms and conditions from security deposits to late charges
Form size: 11"L x 8.5"W
Form duplicate: carbon; comes in white
$15.99
Per each
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
Item #: 901-13377
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
TOPS Credit Card Sales 3-Part Carbonless Receipt, 3.25"L x 7.88"W, 100/Pack (TOP 38538)
Item #: 901-810999
Item #: 901-810999
Triplicate Credit Card Sales Slips are made with carbonless paper to protect your customers; no carbon tissues containing credit card information to worry about
Size: 3.25"L x 7.88"W
Features a carbonless 3-part format and comes in white
$39.99
1-4 pack
Save 5%
$37.99
5+ pack
ComplyRight™ Employee Records Folder, Letter Size, Pack of 25 (A5001)
Item #: 901-1949184
Item #: 901-1949184
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Easily fits into any filing cabinet or desk drawer
Adams 2-Part Petty Cash Carbonless Receipts Book, 2.75" x 5", 200 Forms/Book (ABF SC1156)
Item #: 901-SC1156
Item #: 901-SC1156
Money and rent receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 5"W; detached form size: 5"L x 2.75"W
2-Part Carbonless forms for accurate record keeping
$21.99
Per each
Dome Short-Cut Payroll Book, 8 Columns, 11.25" x 8.75", Navy (650)
Item #: 901-137240
Item #: 901-137240
For businesses with 1-50 employees
Double-page spread
Holds records for one year
$31.99
1-2 each
Save 22%
$24.99
3+ each
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1143
4-Up
Triplicate
200 sets per book
Custom Continuation Notes, 8-1/2" x 11", 500 Sheets per Pack
Item #: 901-QFW2013X01
For use in patient charts and files
8-1/2" W x 11" L
60# text stock, pre-printed in black ink; available in pink, yellow, green, and blue for setting up a color-coding system
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Carton (00005)
Item #: 901-FF5
Item #: 901-FF5
String & button, basic-duty box perfect for storing checks and forms
White/Blue corrugated storage box with standard assembly is sturdy and lightweight
Check Size, holds 10.75" x 23.27" files
$219.99
Per carton
($18.33/EACH)
ComplyRight™ HIPAA Protecting Patient Privacy Poster (A2126)
Item #: 901-728247
Item #: 901-728247
Communicates mandatory HIPAA rules to healthcare employees
Educates employees on how and when patient's medical information may be disclosed and what to do if a breach occurs
Poster size 12 x 18"
Medical Arts Press® Single Copy Rx Blanks; Vertical, Alter-Proof
Item #: 901-16034
Item #: 901-16034
Tamper-resistant Rx pad features 5 security features; meets October 1st 2008 Medicaid Requirements
Alter-proof blue pattern background to ensure there are no erasures or modifications of information
Void Pantograph — the word "void" will appear when photocopied
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Carton (00022)
Item #: 901-FF22
Item #: 901-FF22
String & button, basic-duty box perfect for storing checks and forms
White/Blue corrugated storage box with standard assembly is sturdy and lightweight
Form Size, holds 6" x 9.5" files
$236.99
Per carton
($19.75/EACH)
Purchase Order Book, 2 Parts, Carbonless, 5 1/2" x 7 7/8"
Item #: 901-2675659
Item #: 901-2675659
In duplicate and triplicate formats
White original, canary duplicate, pink triplicate
50 sets per book
$23.99
Per each
ComplyRight™ Expanded Employee Records Folder, Letter Size, Pack of 25 (A5008)
Item #: 901-1949181
Item #: 901-1949181
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Expanded folder has 1.5” spine which holds more than 100 employee documents
TOPS Snap-Off 3-Part Carbonless Packing Slips, 8-1/2" x 7", 50 Sets/Book (3834)
Item #: 901-377682
Item #: 901-377682
Complete with all necessary documentation for shipments
3-part carbonless, white, canary, pink paper sequence
Not numbered
$38.99
1-4 box
Save 5%
$36.99
5+ box
Custom Cash Receipt Book, 3-to-a-page, Triplicate, 150 Sets/Book
Item #: 901-TCRB1113
3-Up
Triplicate
150 sets per book
Adams Receipts Book, 2.75"L x 5.38"W, 50 Sheets/Book, 3/Pack (DC2501-3)
Item #: 901-448239
Item #: 901-448239
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 5.38"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$19.99
1-4 pack
Save 5%
$18.99
5+ pack
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
Item #: 901-398024
Item #: 901-398024
Describes how medical information about patients may be used and disclosed
Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and do's and don'ts
Size: 8 1/2" x 11"
Posting File, For Forms Up To 7-1/2x9-1/2"
Item #: 901-31134
Item #: 901-31134
Large tray features 3 tilt plates for support
Sturdy metal construction with gray baked enamel finish
Holds forms up to 7-1/2Wx9-1/2Hx6"D, up to a 6" stack of forms
Custom Progress Notes, 8-1/4" x 10-3/4", 28# Ivory Stock, 250 Sheets per Pack
Item #: 901-QFW2012101
For use in patient charts and files
8-1/4" W x 10-3/4" L
Ivory 28# ledger stock, pre-printed in black ink
Medical Arts Press® Continuation Notes, White, No Punch Option
Item #: 901-20131NP
Item #: 901-20131NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
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