UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x...
$169.99
Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing...
Four-Part Auto Repair Form, 11 x 8 1/2, Four-Part Carbonless, 50 Forms
$26.99
Tax excluded
Provides information of items to be serviced, description of parts, materials and estimated cost of labor. Tag stock quadruplicate has form on back for labor/materials recap. Consecutive red numbering expedites filing and bookkeeping.
RED4P489
503 Items
Data sheet
- Punching
- Side, Two-Hole
- Punching
- Hanging Hole
- Paper Color(s)
- Blue
- Paper Color(s)
- White
- Global Product Type
- Forms-Sales & Work Order
- Pre-Consumer Recycled Content Percent
- 0%
- Post-Consumer Recycled Content Percent
- 0%
- Total Recycled Content Percent
- 0%
- Form Size
- 11 x 8 1/2
- Forms Per Page
- 1
- Form Quantity
- 50
- Principal Heading(s)
- Auto Repair Order
- Layout
- One Form per Sheet
- Layout
- One Form on Front and Recap Form on Back of Tag Stock Copy
- Paper Stock
- Tag Stock Last Copy
- Print and Ruling Color(s)
- Blue
- Numbering
- Preprinted at Top
- Numbering Color(s)
- Red
- Copy Types
- Carbonless Quadruplicate
- Copy Paper Color(s)
- Pink
- Copy Paper Color(s)
- Yellow
- Copy Paper Color(s)
- White
No customer reviews for the moment.
16 other products in the same category:
Provides information of items to be serviced, description of parts, materials and estimated cost of labor. Tag stock quadruplicate has form on back for labor/materials recap. Consecutive red numbering expedites filing and bookkeeping.