Page 32 of replacement superbill forms
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ComplyRight™ Illinois Job Application, Pack of 50 (A2179IL)
Item #: 901-1182911EDI
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
$55.09
Per pack
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
ComplyRight™ Massachusetts Job Application, Pack of 50 (A2179MA)
Item #: 901-1182882EDI
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
$103.99
1-3 pack
Save 18%
$84.99
4+ pack
ComplyRight™ Iowa Job Application, Pack of 50 (A2179IA)
Item #: 901-1949609TFP
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
$56.29
Per each
ComplyRight Compact 2-Part Absence Report, Pack of 50 (A2151)
Item #: 901-2548978
Attorney-developed to ensure 100% compliance
Features ComplyRight™ tips for optimal, compliant use
Includes space to add your own comments
$76.99
Per each
Custom Service Orders - with Claim Check and Carbons 3 Parts, 1 Color Printing, 4 1/4" x 9 1/4",500/Pack
Item #: 901-D3053
Customer signature area: Back side of last part has space for comments & Promissory Note for customers to sign
Handy: Detachable claim checks
Durable: Last part is durable tag stock
ComplyRight Canada Federal and Province (English) - Subscription Service, Ontario (U1200FCANON)
Item #: 901-1949308TFP
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
$65.49
Per each
ComplyRight™ Connecticut Job Application, Pack of 50 (A2179CT)
Item #: 901-1182917EDI
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
$73.19
Per pack
Custom Work Orders - Side-Stub with Carbons, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pk
Item #: 901-D2453
Perforated. You can send invoice section with or without detachable materials list, as needed
Durable: Last part is durable tag stock
Customer sign-off section: Includes preprinted section, for customer to sign-off on service/work as acceptable
ComplyRight Canada Federal and Province (English) - Subscription Service, Prince Edward Island (U1200FCANPE)
Item #: 901-1949306TFP
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 Bills of Lading - Small Carbonless, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D62054
Meets regulations. These forms meet all D.O.T. and I.C.C. regulations. Please note: For Non-Hazmat shipments only
Get the details: 6 description lines
Consecutively numbered for easy recordkeeping
Quill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2", 3200 Sheets/Carton
Item #: 901-710833
Business paper is perfect for printing receipts that require two copies
Paper dimensions: 5.5"W x 9.5"L
Paper weight: 15 lbs.
$120.99
Per carton
16.5" x 16" x 8" Heavy Duty Desktop Small Form Factor Shipping Box (E05480)
Item #: 901-24596785
Small Form Factor Desktop Computer Shipping Box
Fits desktop small form factors of varying sizes, ranging from 11.42"L x 3.5"W x 10.38”D to 12.0"L x 4.0"W x 11.5"D
Outside Dimensions: 17" x 16" x 8"
$58.99
Per each
Custom Bills of Lading - Small Carbonless, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D72003
Special section to identify hazardous materials
Meets regulations. These forms meet all D.O.T. and I.C.C. regulations
Get the details: 8 description lines
Boorum & Pease 66 Series Record Book, 7.63"W x 12.13"L, Blue, 150 Sheets/Book (ESS-66-300-R)
Item #: 901-708966
Blue canvas cover with record title
Includes 300 numbered pages
Overall dimensions: 7.63"W x 12.13"H
$100.89
Per each
Adesso Tru-Form Wireless Keyboard, Black (WKB-3150UB)
Item #: 901-IM19L0556
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
Stable trackball simply requires your hand strokes for operating
$84.89
Per each
Custom Plumbing Invoice - Invoice with Checklist, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D65403
Simplify: Combined work order and invoice covers everything: work write-ups, invoicing and cost documentation
Get the details: Lots of checkboxes and specialized fields let you write up every job quickly and accurately
Track customer acceptance: Signature line for customer authorization prevents disputes
Boorum & Pease 38 Series Record Book, 7.63" x 9.63", Black/Red, 75 Sheets/Book (38-150-R)
Item #: 901-38150R
Book for records and daily schedules
Elegant black covers with red spine and corners
Includes 150 numbered pages
$62.59
1-2 each
Save 10%
$55.99
3+ each
Custom Repair Orders - Expanded Carbonless, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pack
Item #: 901-D65813
Generous description area: Special section to itemize sub-contract work & more
Authorized signature line included
Consecutively numbered for easy recordkeeping
Custom Contractor Invoice - Itemized Invoice for Large Jobs, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D2093
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 Shipping Invoices - Large Classic Booked,3 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D106B3
Generous description area: 22 description lines
Bottom copy stays bound in book for a permanent record; 50 sets per book.
Create clean records: Carbonless forms stay tightly aligned for clear, clean copies
Belkin SoundForm Mini Wireless On-Ear Headphones, Bluetooth, Black (AUD002BTBKV3)
Item #: 901-24623183
These On-Ear Headphones are designed specifically for children. Perfect for listening to music, watching videos, or playing games.
can be used in both wireless and wired modes. When used wirelessly, they have an operational range of approximately 30 feet
utilize Bluetooth 5.0 for reliable and efficient wireless connectivity.
$32.09
Per each
ComplyRight™ New York Job Application, Pack of 50 (A2179NY)
Item #: 901-1182876EDI
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
$67.99
1-2 pack
Save 19%
$54.99
3+ pack
ComplyRight™ Wisconsin Job Application, Pack of 50 (A2179WI)
Item #: 901-1949686TFP
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
$76.99
1-2 each
Save 5%
$72.99
3+ each
