CMS 02/12 Insurance Claim Form, 1-Part Continuous White,...
$82.99
Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing...
Auto Mileage Log, Undated, 3 1/4 x 6 1/4, 32 Forms
$2.29
Tax excluded
Mandatory records for all who use their automobile for business purposes. Records mileage, parking fees and tolls. Features a detachable year-end summary and affidavit for tax advisor. One month per two page spread. Undated –start any time. Good for one full year.
DOM770
3730 Items
Data sheet
- Paper Color(s)
- White
- Global Product Type
- Forms-Memo & Message
- Cover Color(s)
- Gray
- Cover Material(s)
- Card Stock
- Form Size
- 6 1/2 x 6 1/4
- Forms Per Page
- 1
- Number of Entry Lines
- 31
- Form Quantity
- 32
- Sheet Size
- 3 1/4 x 6 1/4
- Principal Heading(s)
- Personal Miles
- Principal Heading(s)
- Date
- Principal Heading(s)
- Business Miles
- Principal Heading(s)
- Odometer Reading Begin/End
- Principal Heading(s)
- Business Purpose
- Principal Heading(s)
- Commuter Miles
- Number of Columns
- 7
- Layout
- One Form on Two-Page Spread
- Total Number of Entries per Book
- 372
- Print and Ruling Color(s)
- Black
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Mandatory records for all who use their automobile for business purposes. Records mileage, parking fees and tolls. Features a detachable year-end summary and affidavit for tax advisor. One undated month per two page spread.