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Page 35 of replacement superbill forms

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All filters 3005 items found
Blank Laser Middle Check, 1 Part, 8 1/2 x 11, Green, 500 Checks/Pack
Quick view
Blank Laser Middle Check, 1 Part, 8 1/2" x 11", Green, 500 Checks/Pack
Item #: 901-DLM8321GN
(1)
Item #: 901-DLM8321GN
Pricing details
Designed to be used with software that prints the entire check including bank information and MICR numbering
Tear-off top & bottom vouchers give you & payee a detailed payment record
Shrink wrapped in packages of 500 checks
$98.99
1 pack
($0.20/EACH)
Save 28%
$70.99
4+ pack
($0.14/EACH)
Add to cart
Earn 98 points
Free delivery
Custom Certificate of Professional Care Slips, 5-1/2 x 8-1/2, 100 Sheets per Pad
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Custom Certificate of Professional Care Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN132111R
Item #: 901-QFN132111R
Pricing details
For certification of care
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
$16.29
5-9 pad
($0.16/EACH)
Save 41%
$9.59
40+ pad
($0.10/EACH)
Customize
Earn 81 points
Free delivery w/ $25+
TOPS™ Payroll Record Book, Weekly, 8 1/2 x 11, Blue (AFR50)TOPS™ Payroll Record Book, Weekly, 8 1/2 x 11, Blue (AFR50)
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TOPS™ Payroll Record Book, Weekly, 8 1/2" x 11", Blue (AFR50)
Item #: 901-448255
(12)
Item #: 901-448255
Comes in blue color and features poly cover
Dimensions: 8 1/2"H x 11"W
Binding type: Spiral
$20.99
Per each
Add to cart
Earn 20 points
Free delivery w/ $25+
Price drop
ComplyRight West Virginia Job Application, Pack of 50 (A2179WV)ComplyRight West Virginia Job Application, Pack of 50 (A2179WV)
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ComplyRight West Virginia Job Application, Pack of 50 (A2179WV)
Item #: 901-1949687TFP
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
$48.89
Per each
Add to cart
Earn 48 points
Free delivery
Price drop
16.5 x 16 x 8 Heavy Duty Desktop Small Form Factor Shipping Box (E05480)16.5 x 16 x 8 Heavy Duty Desktop Small Form Factor Shipping Box (E05480)
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16.5" x 16" x 8" Heavy Duty Desktop Small Form Factor Shipping Box (E05480)
Item #: 901-24596785
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"
$41.39
Per each
Add to cart
Earn 41 points
Free delivery
ComplyRight Kansas Job Application, Pack of 50 (A2179KS)ComplyRight Kansas Job Application, Pack of 50 (A2179KS)
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ComplyRight Kansas Job Application, Pack of 50 (A2179KS)
Item #: 901-1182885EDI
Item #: 901-1182885EDI
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
Per pack
Add to cart
Earn 76 points
Free delivery
ComplyRight™ Illinois Job Application, Pack of 50 (A2179IL)ComplyRight™ Illinois Job Application, Pack of 50 (A2179IL)
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ComplyRight™ Illinois Job Application, Pack of 50 (A2179IL)
Item #: 901-1182911EDI
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
Add to cart
Earn 55 points
Free delivery
TOPS Snap-Off 3-Part Carbonless Packing Slips, 8-1/2 x 7, 50 Sets/Book (3834)TOPS Snap-Off 3-Part Carbonless Packing Slips, 8-1/2 x 7, 50 Sets/Book (3834)
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TOPS Snap-Off 3-Part Carbonless Packing Slips, 8-1/2" x 7", 50 Sets/Book (3834)
Item #: 901-377682
(2)
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
Add to cart
Earn 38 points
Free delivery
Blank Laser Bottom Check, 1 Part, 8 1/2 x 11, Blue, 500 Checks/Pack
Quick view
Blank Laser Bottom Check, 1 Part, 8 1/2" x 11", Blue, 500 Checks/Pack
Item #: 901-DLB8051BE
Item #: 901-DLB8051BE
Pricing details
Designed to be used with software that prints the entire check including bank information and MICR numbering
Top tear-off vouchers give both you and payee a detailed payment record
Shrink wrapped in packages of 500 checks
$137.99
1 pack
($0.28/EACH)
Save 26%
$101.99
4+ pack
($0.20/EACH)
Add to cart
Earn 137 points
Free delivery
ComplyRight Federal, State, and Local Labor Law 1-Year Poster Service, California, English & Spanish (U1200CSLCBACA)ComplyRight Federal, State, and Local Labor Law 1-Year Poster Service, California, English & Spanish (U1200CSLCBACA)
Quick view
ComplyRight Federal, State, and Local Labor Law 1-Year Poster Service, California, English & Spanish (U1200CSLCBACA)
Item #: 901-24675601
Item #: 901-24675601
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.
$148.99
Per each
Add to cart
Earn 148 points
Free delivery
Rediform Emerald Series Record Book, 6.25W x 9.63H, Green, 100 Sheets/Book (56521)Rediform Emerald Series Record Book, 6.25W x 9.63H, Green, 100 Sheets/Book (56521)
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Rediform Emerald Series Record Book, 6.25"W x 9.63"H, Green, 100 Sheets/Book (56521)
Item #: 901-388158
(3)
Item #: 901-388158
Green canvas hardcover and silk screened title
Includes 200 numbered pages with blue ruling and red margin
Overall dimensions: 6.25"W x 9.63"H
$37.99
Per each
Add to cart
Earn 37 points
Free delivery
Custom Duplicate Checks, Compact Size, Green Marble Design, 2 Ply/Duplicate, 1 Color Printing, 6 xCustom Duplicate Checks, Compact Size, Green Marble Design, 2 Ply/Duplicate, 1 Color Printing, 6 x
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Custom Duplicate Checks, Compact Size, Green Marble Design, 2 Ply/Duplicate, 1 Color Printing, 6" x 2.75", 80/Pack
Item #: 901-51200N2
(1)
Item #: 901-51200N2
Pricing details
Black ink imprint
Part 1: 24# Check StockPart 2: 22# White Stock
Check Size: 6" x 2-3/4"
$51.99
1 pack
($0.65/EACH)
Save 31%
$35.99
4 pack
($0.45/EACH)
Customize
Earn 51 points
Free delivery
Price drop
ComplyRight Federal, State, and Local Labor Law 1-Year Poster Service, Michigan, English & Spanish (U1200CSLCBAMI)ComplyRight Federal, State, and Local Labor Law 1-Year Poster Service, Michigan, English & Spanish (U1200CSLCBAMI)
Quick view
ComplyRight Federal, State, and Local Labor Law 1-Year Poster Service, Michigan, English & Spanish (U1200CSLCBAMI)
Item #: 901-24675621
Item #: 901-24675621
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.
$114.19
Per each
Add to cart
Earn 114 points
Free delivery
ComplyRight™ Iowa Job Application, Pack of 50 (A2179IA)ComplyRight™ Iowa Job Application, Pack of 50 (A2179IA)
Quick view
ComplyRight™ Iowa Job Application, Pack of 50 (A2179IA)
Item #: 901-1949609TFP
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
$57.99
Per each
Add to cart
Earn 57 points
Free delivery
Price drop
Blank Laser Bottom Check, 3 Part, 8 1/2 x 11, Blue, 500 Checks/Pack
Quick view
Blank Laser Bottom Check, 3 Part, 8 1/2" x 11", Blue, 500 Checks/Pack
Item #: 901-DLB8333BE
Item #: 901-DLB8333BE
Designed to be used with software that prints the entire check including bank information and MICR numbering
2 tear-off top vouchers give both you & payee a detailed payment record
Shrink wrapped in packages of 500 checks
$139.99
Per pack
($0.28/EACH)
Add to cart
Earn 139 points
Free delivery
Price drop
Boorum & Pease 66 Series Record Book, 7.63W x 12.13L, Blue, 150 Sheets/Book (ESS-66-300-R)Boorum & Pease 66 Series Record Book, 7.63W x 12.13L, Blue, 150 Sheets/Book (ESS-66-300-R)
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Boorum & Pease 66 Series Record Book, 7.63"W x 12.13"L, Blue, 150 Sheets/Book (ESS-66-300-R)
Item #: 901-708966
(4)
Item #: 901-708966
Blue canvas cover with record title
Includes 300 numbered pages
Overall dimensions: 7.63"W x 12.13"H
$76.99
Per each
Add to cart
Earn 76 points
Free delivery
Boorum & Pease 9 Series Record Book, 8.63W x 14.13H, Black, 250 Sheets/Book (9-500-R)Boorum & Pease 9 Series Record Book, 8.63W x 14.13H, Black, 250 Sheets/Book (9-500-R)
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Boorum & Pease 9 Series Record Book, 8.63"W x 14.13"H, Black, 250 Sheets/Book (9-500-R)
Item #: 901-508642
(1)
Item #: 901-508642
Elegant black cover with red reinforced spine and book corners
Includes 500 numbered pages
Overall dimensions: 8.63"W x 14.13"H
$228.99
1-2 each
Save 10%
$206.99
3+ each
Add to cart
Earn 228 points
Free delivery
Boorum & Pease 66 Series Record Book, 7.63W x 12.13H x 1D, Blue, 250 Sheets/Book (66-500-J)Boorum & Pease 66 Series Record Book, 7.63W x 12.13H x 1D, Blue, 250 Sheets/Book (66-500-J)
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Boorum & Pease 66 Series Record Book, 7.63"W x 12.13"H x 1"D, Blue, 250 Sheets/Book (66-500-J)
Item #: 901-66500J
(3)
Item #: 901-66500J
Art deco-styled blue canvas cover with record title
Includes 500 numbered pages
Overall dimensions: 7.63"W x 12.13"H x 1"D
$100.99
Per each
Add to cart
Earn 100 points
Free delivery
Price drop
ComplyRight Federal, State, and Local Labor Law 1-Year Poster Service, Kentucky, English & Spanish (U1200CSLCBOKY)ComplyRight Federal, State, and Local Labor Law 1-Year Poster Service, Kentucky, English & Spanish (U1200CSLCBOKY)
Quick view
ComplyRight Federal, State, and Local Labor Law 1-Year Poster Service, Kentucky, English & Spanish (U1200CSLCBOKY)
Item #: 901-24675295
Item #: 901-24675295
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.
$83.59
Per each
Add to cart
Earn 83 points
Free delivery
Custom Insurance Authorization Slips, 5-1/2 x 4, 100 Sheets per Pad
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Custom Insurance Authorization Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN131491R
Item #: 901-QFN131491R
Pricing details
For insurance authorizations
5-1/2" W x 4" L
White 20# text stock; printed in black ink
$8.59
5-9 pad
($0.09/EACH)
Save 44%
$4.79
40+ pad
($0.05/EACH)
Customize
Earn 42 points
Free delivery w/ $25+
Custom Traveler, Business Size Portable Checks, 1 Ply, 1 Color Printing, 8.25 x 3, 40/PackCustom Traveler, Business Size Portable Checks, 1 Ply, 1 Color Printing, 8.25 x 3, 40/Pack
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Custom Traveler, Business Size Portable Checks, 1 Ply, 1 Color Printing, 8.25" x 3", 40/Pack
Item #: 901-59000N1
(3)
Item #: 901-59000N1
Pricing details
Black ink imprint
24# Check Stock
Check Size: 8-1/4" x 3"
$46.99
1 pack
($1.17/EACH)
Save 38%
$28.99
8 pack
($0.72/EACH)
Customize
Earn 46 points
Free delivery
Boorum & Pease 21 Series Record Book, 8.13W x 10.38H, Black, 150 Sheets/Book (21-300-R)
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Boorum & Pease 21 Series Record Book, 8.13"W x 10.38"H, Black, 150 Sheets/Book (21-300-R)
Item #: 901-21300R
(3)
Item #: 901-21300R
Elegant black cover with reinforced red spine and corners
Includes 300 numbered pages
Overall dimensions: 8.13"W x 10.38"H
$68.99
Per each
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Earn 68 points
Free delivery
Wilson Jones Minute Record Book, 9.3W x 11.6H x 1.7D, Red (W0396-11)Wilson Jones Minute Record Book, 9.3W x 11.6H x 1.7D, Red (W0396-11)
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Wilson Jones Minute Record Book, 9.3"W x 11.6"H x 1.7"D, Red (W0396-11)
Item #: 901-507995
(5)
Item #: 901-507995
Red hand-bound imitation leather cover with gold-tooled spines
Overall dimensions: 9.3"W x 11.6"H x 1.7"D
Professional minute book protects confidential information and maintains organization of records
$425.99
1-2 each
Save 10%
$384.99
3+ each
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Earn 425 points
Free delivery
Wilson Jones Visitor Book, 10 Columns, 12.25 x 9.5, Black, 208 Sheets/Book (S491)Wilson Jones Visitor Book, 10 Columns, 12.25 x 9.5, Black, 208 Sheets/Book (S491)
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Wilson Jones Visitor Book, 10 Columns, 12.25" x 9.5", Black, 208 Sheets/Book (S491)
Item #: 901-586164
(5)
Item #: 901-586164
Visitors register books have an upscale look that is great for sign-in in any location
Dense black cover with brown trim and gold foil stamps
Book includes 208 pages printed in red, black, and blue ink with space for 3400 entries
$277.99
1-2 each
Save 19%
$223.99
3+ each
Add to cart
Earn 277 points
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