Page 21 of replacement superbill forms
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Adams Receipt Book, 7.19"W x 2.75"L, White/Canary, 250 Sets/Pack (DC2701)
Item #: 901-266890
Money and rent receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 7.19"W; detached: 2.75"L x 6.69"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$23.99
1-4 pack
Save 4%
$22.99
5+ pack
Rediform® Spiralbound Unnumbered Money Receipt Book, 2 3/4 x 7, Each (S16444W-CL)
Item #: 901-377382
Brand: Rediform®
Manufacturer: Rediform Office Products
Business Form Type: Receipts
$31.99
1-5 each
Save 3%
$30.99
6+ each
ComplyRight 1-Part Confidential Employee Record Folder, 25/Pack (A0503)
Item #: 901-2549341
Comprehensive employee record folder helps to ensure the safety of private employee data
Number of parts: 1
Contains 25 files per package
$126.99
Per each
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
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"
$45.99
Per pack
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 901-398026
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
$79.99
Per pack
TOPS 3-Part Carbonless Bill of Lading, 11.44"L x 8.5"W, 50 Sets/Book (3846)
Item #: 901-508637
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 11.44"L x 8.5"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$32.99
Per box
Adams Attendance Records, 50/Pack (ABF 9493)
Item #: 901-9493
Control costs and keep track of employees' work schedules with daily attendance record
Contains 50 records per package
Perfect contrast of blue ink on white paper
$24.59
1-3 pack
Save 4%
$23.59
4+ pack
TOPS Professional Notebooks, 8.5" x 11", Wide Ruled, 100 Sheets, White (4100)
Item #: 901-459355
50 pages
200 forms, 4 forms per page
Actual book size is 8-1/4" x 11". The detached form size is 5-1/2" x 3-7/8".
$22.99
1-4 box
Save 4%
$21.99
5+ box
ComplyRight Self-Seal Tax Envelope, 11.63" x 9.63", White/Green, 50/Pack (PEV48)
Item #: 901-24588701
Double-window multipurpose tax return envelope will dress up every tax return and report from your office
Dimensions: 11.63" x 9.63"
Made of paper in white with green accents
$37.99
Per each
ComplyRight Self-Seal Tax Envelope, 10" x 13", White/Green, 50/Pack (PEB02)
Item #: 901-24588696
Double-window multipurpose tax return envelope will dress up every tax return and report from your office
Dimensions: 10" x 13"
Made of paper in white with green accents
$54.99
Per each
Rediform 3-Part Carbonless Receipts, 4-1/4" x 6-3/8", 50 Sets/Book (RED5L528)
Item #: 901-2658698
All forms contain space for important information essential to a business operation
Carbon coating on back of each original transfers to duplicate copies without having to transfer carbon sheets
Detachable
$23.59
1-4 each
Save 4%
$22.59
5+ each
TOPS® Application for Employment, 2-Sided, 8-1/2 x 11", 50 Sheets/Pad, 2 Pads/Box (32851)
Item #: 901-370031
2-hole punched
Application complies with all legal requirements
Includes employment history, references, education, personal information, physical record, check-offs for special questions and space for interviewer's remarks
$36.99
1-3 box
Save 2%
$35.99
4+ box
ComplyRight 2024-2025 Academic Attendance Calendar, 50/Pack (A43005015)
Item #: 901-1949178TFP
Features an academic year calendar format (August 1 – July 31) and easy coding system
Comes in a storage file folder with ComplyRight™ tips for optimal, complaint use
3-hole punched
$83.99
Per pack
TOPS 2-Part Carbonless Purchase Order, 8 7/16" x 5 9/16", 50 Sets/Book (46500)
Item #: 901-2667639
8 7/16" x 5 9/16"
50 forms
1 form per page
$12.59
1-4 each
Save 4%
$11.99
5+ each
TOPS 2-Part Carbonless Purchase Requisitions, 7.94"L x 5.56"W, 50 Sets/Book (46140)
Item #: 901-377687
Purchase order books are designed to help you write orders memos in a clear manner
Business form size: 7.94"L x 5.56"W; detached form size: 5.56"L x 7.94"W
2-Part Carbonless forms for accurate record keeping
$18.59
Per box
Adams 2-Part Carbonless Sales Orders, 8.44"L x 5.56"W, 50 Sets/Book (DC5805)
Item #: 901-196113
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 5.56"W x 8.44"L; detached: 5.56"W x 7.94"L
2-Part White/Canary Carbonless forms for accurate record keeping
$9.99
1-7 each
Save 5%
$9.49
8+ each
TOPS 4-Part Carbonless Auto Repairs, 11 7/16" x 8 1/2", 50 Sets/Book (3869)
Item #: 901-2667641
11 7/16" x 8 1/2"
50 forms
1 form per page
$36.99
Per pack
Adams® Carbonless Receipt Book, 3" x 8", 2-Part, 200 Sets/Book (SC1182)
Item #: 901-SC1182
Rent receipt books for recording monthly financial payments
Carbonless paper creates white originals and canary duplicates
Four forms per page and 50 pages; 200 forms per book
$13.49
1-3 each
Save 2%
$13.09
4+ each
TOPS™ Money/Rent Receipt Book, 3-Part, 50 Sheets/Book (TC2701-3)
Item #: 901-448242
Money/Rent Receipt book to offer receipts for rent and other monetary exchanges at
Dimensions: 1.5"H x 2.75"W x 7.19"L, 6.69" x 2.75" (detached form), 7.19" x 2.75" (sheet)
Color: White (primary page), pink (triplicate page), canary (duplicate page), blue (ink)
$24.79
Per each
ComplyRight Self-Seal Tax Envelope, 9.5" x 12", White/Blue, 50/Pack (PRK37)
Item #: 901-24588707
Double-window multipurpose tax return envelope will dress up every tax return and report from your office
Dimensions: 9.5" x 12"
Made of paper in white with blue accents
$34.99
Per each
TOPS Money/Rent Receipt Book, 200 Sets/Book, White/Canary (4161)
Item #: 901-745083
Use this receipt book for rent payments or any other type of payment
Original form is white with blue and red ink and canary duplicate with a black/white image
50 pages with four perforated two-part carbonless forms per page
$20.79
1-4 pad
Save 4%
$19.79
5+ pad
TOPS Employee Record Master File, 20/Pack (TOP 3280)
Item #: 901-3280Q
Employee personal file includes all you need to build a complete employee record
20 personal files per pack
Comes in manila color with blue ink
$54.99
1-3 pack
Save 9%
$49.99
4+ pack
ComplyRight 2024-2025 Fiscal Attendance Calendar, 50/Pack (A42005015)
Item #: 901-1949176TFP
Comes in a storage file folder with ComplyRight™ tips for optimal, complaint use
3-hole punched
Measures 8.5" x 11"
$73.99
Per pack
Adams 1-Part Carbonless Receipts, 5"L x 3.5"W, 50 Sets/Book, 12 (9672ABF)
Item #: 901-ABF9672
Petty cash receipt pad is designed for cash payouts
Business form size: 5"L x 3.5"W
Single form for ease of use
$18.99
Per pack