Page 30 of replacement superbill forms
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Alliance 1-Part Carbonless Guest Checks, 3.4" x 6.73", 50 Sets/Book, 2/Carton (367401)
Item #: 901-2398426
Green
3.4" x 6.73"
50 books of 50 per carton
$143.39
1-2 carton
Save 8%
$130.99
3+ carton
Custom Job Work Orders, Booked, 2 Parts, 1 Color Printing, 5" x 8", 500/Pack
Item #: 901-D6558B2
Manage accounts: High quality job work order forms record costs and make invoices easy
Get the details: Extra-large work description area, including 13 lines for detailed write-ups
Track customer acceptance: Signature line for customer authorization prevents disputes
Alliance T4997SP, 2part, Carbonless, Tan, 15 Line, Guest Checks, Case of 2000
Item #: 901-1641003
Tan
4.25" x 8.5
Case of 2000
$172.99
Per carton
ComplyRight™ Orthodontic Case Envelo-File®
Item #: 901-AR1048
Convenient, secure patient folders designed specifically for orthodontists’ offices
Keeps all case documentation for patients in one secure place
Sections to record presenting oral condition, medical history, model and x-rays, markings before treatment plan and treatment plan
$56.99
Per pack
($2.28/EACH)
Custom Service Orders, Booked, Large Format 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D3212
Take complete orders: Preprinted areas simplify write-ups of vehicle make and model, service, parts, time and more
Get the details: 12 lines provide ample room so orders can fit on a single page
Track customer acceptance: Signature line for customer authorization prevents disputes
ComplyRight Canada Federal and Province (English) - Subscription Service, Nova Scotia (U1200FCANNS)
Item #: 901-1949309TFP
Laminated English Canadian Federal and Province posters with automatic updates
Includes one year of legal monitoring for 365 days of worry-free posting compliance
Service provides replacement posters for mandatory changes for 12 months, with free UPS delivery
$62.99
Per each
ComplyRight™ West Virginia Job Application, Pack of 50 (A2179WV)
Item #: 901-1949687TFP
Written by Employment Attorneys to ensure compliance in all 50 states
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
$61.99
Per each
Ampad Computation Book, 76 Pages, Brown (22157)
Item #: 901-2667643
Double wirebound computation book
Antique Ivory pages between brown pressboard covers
76 pages per book
$55.19
1-9 each
Save 18%
$44.99
10+ each
Medical Arts Press® Financial Agreement and Insurance Assignment; 4x5-1/2" Bond Non-Personalized
Item #: 901-33404
100 sheets per pad
Pad size: 4 x 5-1/2 inches
$5.99
5+ pad
ComplyRight Canada Federal and Province (English) - Subscription Service, British Columbia (U1200FCANBC)
Item #: 901-1949314TFP
Laminated English Canadian Federal and Province posters with automatic updates
Includes one year of legal monitoring for 365 days of worry-free posting compliance
Service provides replacement posters for mandatory changes for 12 months, with free UPS delivery
$62.99
Per each
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 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
ComplyRight™ Kentucky Job Application, Pack of 50 (A2179KY)
Item #: 901-1949608TFP
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
$71.99
Per each
ComplyRight Federal & State Remote Worker Binder 1-Year Labor Law Service, California, English (U1200CRWCAE)
Item #: 901-2548907
FEDERAL COMPLIANCE ALERT: In October 2022, the EEOC issued a new mandatory “Know Your Rights” posting to replace the previous EEOC workplace posting. Most employers with 15+ employees must comply immediately. All ComplyRight poster products and servi
ces that cover federal postings now include this new mandatory posting. ...
ces that cover federal postings now include this new mandatory posting. ...
High quality printed version of mandatory federal and state posters
$90.99
Per each
Adesso Tru-Form Media Wireless Ergonomic Keyboard and Optical Mouse Combo, Black (WKB-1600CB)
Item #: 901-IM15GM060
The wireless chiclet design provides high freedom of movement and prevents you from having to detangle cords, optical mouse tracks accurately on almost any opaque hard surface, and comes in black
The wireless design provides high freedom of movement and prevents you from having to detangle cords
Mouse dimensions: 5.08"L x 1.69"H
$63.99
Per 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
$76.49
1-5 each
Save 22%
$58.99
6+ each
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
Rediform Emerald Series Record Book, 7.25" x 12.25", Green, 75 Sheets/Book (RED56111)
Item #: 901-912043
These account books feature green book cloth covers and white paper acid-free, archival safe paper
Pages are numbered for easy reference and made of acid-free, archival safe paper
Features green book cloth covers and white paper acid-free, archival safe paper
$43.59
Per each
Medical Arts Press Continuation Notes (20132)
Item #: 901-20132NP
Four other colors available for setting up a color-coding system
500 per package
Size: 8-1/2x11"
$23.09
1-24 pack
($0.05/EACH)
Save 13%
$19.99
25+ pack
($0.04/EACH)
ComplyRight Canada Federal and Province (French) - Subscription Service, British Columbia (U1200FCANBCFR)
Item #: 901-1949313TFP
Laminated French Canadian Federal and Province posters with automatic updates
Includes one year of legal monitoring for 365 days of worry-free posting compliance
Service provides replacement posters for mandatory changes for 12 months, with free UPS delivery
$59.99
Per each
ComplyRight Absence Report, 3-Part, Pack of 50 (A2250)
Item #: 901-2548933
Includes space to add your own comments
Give one copy to the employee and keep the other for a permanent record of the absence
Features ComplyRight™ tips for optimal, compliant use
$104.99
Per each
Custom Repair Tags, Service, Orange, Detachable Claim Check, 1 Color Printing, 3 1/8" x 5 1/2", 500/Pack
Item #: 901-D3041Q
Claim checks are detachable
Pre-strung 7# string included
Free personalization
Custom Work Orders, Carbon, Large Format, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D2443
Last part is durable tag stock.
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo or custom logo
ComplyRight Canada Federal and Province (English) - Subscription Service, Newfoundland & Labradaor (U1200FCANNL)
Item #: 901-1949310TFP
Laminated English Canadian Federal and Province posters with automatic updates
Includes one year of legal monitoring for 365 days of worry-free posting compliance
Service provides replacement posters for mandatory changes for 12 months, with free UPS delivery
$62.99
Per each
