Page 33 of replacement superbill forms
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Custom Bill of Lading - Large Carbonless, 4 Parts, 1 Color Printing, 8 1/2" X 11" ,250/Pack
Item #: 901-D62254
Meets regulations: These forms meet all D.O.T. and I.C.C. regulations
Generous description area: 17 description lines
Identify hazardous materials. Special section to identify hazardous materials
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
Medical Arts Press® 2-Part Optical Rx Blanks; Carbonless, 4x5-1/2"
Item #: 901-16029
2-part carbonless Rx blanks for eye-care field with copies that can be torn out or stored in book
Standard refill instructions
Specify state license and/or DEA numbers, if desired
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
Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4"
Item #: 901-16020
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
ComplyRight Payroll Status Change Notice, Pack of 50 (A2172)
Item #: 901-2548976
Provides written record of what is changing about status and why
Attorney-developed to ensure 100% compliance
Features ComplyRight™ tips for optimal, compliant use
$66.99
Per each
Custom Classic Design, Large Format Shipping Invoices,4 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D1064
Generous description area: 22 description lines
Convenient snapset format
Create clean records: Carbonless forms stay tightly aligned for clear, clean copies
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
Custom Return to Work Recommendation Slips, 8-1/2" x 11", 100 Sheets per Pad
Item #: 901-QFN105641R
Restriction information for patients to share with work or school
8-1/2" W x 11" 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 Wyoming Job Application, Pack of 50 (A2179WY)
Item #: 901-1949685TFP
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
$54.99
Per each
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
$65.99
1-3 pack
Save 17%
$54.99
4+ pack
ComplyRight™ Georgia Job Application, Pack of 50 (A2179GA)
Item #: 901-1182913EDI
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
$81.99
Per pack
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
Custom Classic, Compact Invoices 3 Parts, 1 Color Printing, 5 2/3" x 7", 500/Pack
Item #: 901-D1143
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
ComplyRight™ New Jersey Job Application, Pack of 50 (A2179NJ)
Item #: 901-1949603TFP
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
$61.59
1-2 each
Save 6%
$57.99
3+ each
ComplyRight™ Michigan Job Application, Pack of 50 (A2179MI)
Item #: 901-1949607TFP
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
$62.99
Per each
ComplyRight Alabama Job Application, Pack of 50 (A2179AL)
Item #: 901-1435288TFP
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
$76.49
1-2 pack
Save 7%
$70.99
3+ pack
ComplyRight South Carolina Job Application, Pack of 50 (A2179SC)
Item #: 901-1949691TFP
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
$65.99
Per each
Medical Arts Press Compact Animal Record Card, Vaccine Record (20375)
Item #: 901-20375
Type of form: Animal record card
100 per pack
Size: 5" x 8"
$24.39
1 pack
($0.24/EACH)
Save 6%
$22.99
2+ pack
($0.23/EACH)
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
Custom Carbonless Itemized Service Slips, 3-1/4" x 5", 100 Sheets per Pad
Item #: 901-QFW1304001
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
ComplyRight Alaska Job Application, Pack of 50 (A2179AK)
Item #: 901-1949612TFP
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
$48.99
Per each
C-Line Time's Up! Sticker Name Tags/Labels, White/Blue, 150/Box (97009)
Item #: 901-2661445
Name tag is ideal for meetings, seminars, special events, conventions, and more
Removable-adhesive name tags do not damage clothing
Self-adhesive badges adhere firmly and remove easily
$87.99
Per each
