UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2...
$159.99
Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing...
Auto Mileage Log/Expense Record, 3 1/2 x 6 1/2, 140-Page Book
$7.79
Tax excluded
Undated weekly format, good for one year. Records mileage and business purpose, with daily, weekly, annual totals, and affidavit to comply with IRS requirements. Receipt pockets for documenting trip expenses. Detailed expense section. A must for those who use their cars for business purposes. Fits in pocket or glove compartment.
DOM750
854 Items
Data sheet
- Binding
- Wire
- Binding
- Side
- Paper Color(s)
- Gray
- Paper Color(s)
- White
- Global Product Type
- Forms-Mileage & Expenses
- Cover Color(s)
- Gray
- Cover Material(s)
- Simulated Leather
- Form Size
- 3 1/2 x 6 1/2
- Forms Per Page
- 1
- Form Quantity
- 140
- Layout
- Record Pages
- Layout
- Expense Pages
- Total Number of Entries per Book
- 324
- Print and Ruling Color(s)
- Black
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Undated weekly format, good for one year. Logs 324 trips. Records mileage and business purpose, with daily, weekly, annual totals, and affidavit to comply with IRS requirements. Receipt pockets for documenting trip expenses.