driver+release+form

Medical Arts Press Dental Consent Form; Rainbow FormFamily (10039)~#|#~s0947205_sc7

Medical Arts Press Dental Consent Form; Rainbow FormFamily (10039)~#|#~m002247885_sc7

Item: 607442

Model: 10039

No reviews yet

Price is $20.99

Unit of measure 100/Pack

Next-Day Delivery by Mon, Sep 29

ComplyRight Patient consent and authorization form measures 8 1/2" x 11".

ComplyRight Patient consent and authorization form is attorney approved form acknowledging patient's information to be released to an authorized third party. Form measures 8 1/2" x 11".

Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
Complies with HIPAA’s authorization requirements
Size: 8 1/2" x 11"
Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
Complies with HIPAAs authorization requirements

ComplyRight HIPAA Patient Consent and Authorization Form (A1350)~#|#~s0456533_sc7

Item: 398021

Model: A1350

No reviews yet

Price is $65.09

Unit of measure 200/Pack

Free delivery by Tue, Oct 07

As of August 4, 2020, businesses with 50 or more employees that hold federal contracts worth at least $50000 must use a new form to satisfy OFCCP (Office of Federal Contract Compliance Programs) recordkeeping requirements. This ComplyRight form is part of their affirmative action obligations to allow job applicants and employees to self-identify as persons with disabilities, and to collect information to assess the effectiveness of their outreach and recruitment efforts. Encourage applicants and current employees to identify themselves as individuals with disabilities using the ComplyRight Voluntary Self-Identification of Disability form.

Encourage applicants and current employees to identify themselves as individuals with disabilities using the Voluntary Self-Identification of Disability form
Comes with a tip sheet covering compliance guidelines and recommended best practices from expert HR and legal teams
25 forms per pack
Blue text on white background
Dimensions: 17" x 11" folded to 11" x 8.5"
Attorney-developed and compliant with the latest regulations
Complies with OFCCP requirements

ComplyRight Voluntary Self-Identification of Disability Form, 25/Pack (A0109PK25)

Item: 24462843

Model: A0109PK25

No reviews yet

Price is $57.49

Free delivery by Tue, Oct 07

Anyone required to file W-2 form must file W-3 form to transmit Copy A of W-2 form. Make a copy of form W-3, keep it and Copy D (for employer) of W-2 with your records for 4 years.

W-3 summary transmittal form is used to report total annual earnings, Social Security wages, Medicare wages, and withholding for all your employees to the Social Security Administration.
Transmittal Form
1 Page Equals 1 Form
Pack of 10 forms

ComplyRight 2025 W-3 Tax Form, 1-Part, Transmittal, 10/Pack (520010)~#|#~C04C7543-8A81-4780-BD93CB179E3BA444_sc7

Item: 24507958

Model: 520010

No reviews yet

Price is $9.99

Delivery by Wed, Oct 08

ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 25/Pack (510025)~#|#~2D2C9596-28E3-4E33-B12842ED6CD26A62_sc7

ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 25/Pack (510025)~#|#~D109DFC3-847C-48C1-AC14537FDF068729_sc7

Item: 24507927

Model: 510025

2

Price is $19.99

Delivery by Wed, Oct 08

Anyone required to file W-2 form must file W-3 form to transmit Copy A of W-2 form. Make a copy of form W-3, keep it and Copy D (for employer) of W-2 with your records for 4 years.

W-3 summary transmittal form is used to report total annual earnings, Social Security wages, Medicare wages, and withholding for all your employees to the Social Security Administration.
Transmittal Form
1 Page Equals 1 Form
Pack of 25 forms

ComplyRight 2025 W-3 Tax Form, 1-Part, Transmittal, 25/Pack (520025)~#|#~51E59716-4727-49C2-A0AE74F5A96EDF17_sc7

Item: 24507961

Model: 520025

1

Price is $19.99

Delivery by Wed, Oct 08

Improve your time off request process with this expertly designed ComplyRight Time Off Request and Approval form

The Time Off Request and Approval form utilizes an efficient calendar format, to show time off requests for a full year. This effective format allows employees to clearly mark the days they want off, and from there, managers can quickly review and approve the requested days. The use of this form helps to create a consistent process across your business. The 2-part format allows you to keep a copy for your records and provide one to the employee for theirs.

Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
Calendar includes holiday list with legal public holidays shaded
Carbonless copy provides managers with documentation for recordkeeping, while also providing a second copy for the employee
Forms are two-part carbonless and measure 8-1/2” x 11”
Sold as pack of 50 forms
8-1/2" x 11"

ComplyRight 2026 Time Off Request and Approval Form, 2-Part, 50 Forms/Pack (A0030)~#|#~625A880B-B2EA-43D6-97EEE330B6F46FD1_sc7

ComplyRight 2026 Time Off Request and Approval Form, 2-Part, 50 Forms/Pack (A0030)~#|#~33082DAC-BAE5-4385-A8680E89D204276C_sc7

Item: 24202397

Model: A0030

No reviews yet

Price is $98.19

Free delivery by Tue, Oct 07

Rediform® Drivers Daily Log Book, Carbonless, 5 1/2" x 8 3/4", 31 Duplicates (S5031NCL)

Rediform® brand business forms represent the most professional way to do business. All of our carbonless business forms are manufactured with high-quality papers for sharp and clear image reproduction, faithful to the original.

Driver's daily log book is providing plenty of space to record driving time
Size: 9.13"L x 5.5"W
Features 2-part format that allows you to keep a permanent copy for your records
Manifold book with flexible cover
Vehicle report on back of original with speedometer start/finish, mileage today, time in, stops, time out, layover time, and daily vehicle inspection report
Carbonless
31 Duplicates
First copy white, second one yellow
Individual sheets
1 record per sheet
Sheet Size: 5 1/2" x 8 3/4"
Ample writing area
Quality printing and construction

Rediform 2-Part Carbonless Driver's Daily Logs, 9.13"L x 5.5"W, 31 Sets/Book (REDS5031NCL)~#|#~sp44341825_sc7

Rediform 2-Part Carbonless Driver's Daily Logs, 9.13"L x 5.5"W, 31 Sets/Book (REDS5031NCL)~#|#~sp44341824_sc7

Item: 508633

Model: REDS5031NCL

5

Price is $11.49

Next-Day Delivery by Mon, Sep 29

Rediform® Drivers Daily Log Book, Carbon, 5 1/2" x 7 7/8", 31 Duplicates (6K681)

Rediform® brand business forms represent the most professional way to do business.

Driver's daily log book is providing plenty of space to record driving time
Business form size: 5.5"L x 7.88"W
2-Part Carbon forms for accurate record keeping
Manifold book with flexible cover
Vehicle report on back of original with speedometer start/finish, mileage today, time in, stops, time out, layover time, and daily vehicle inspection report
Carbon
31 Duplicates
First copy white, second one yellow
Individual sheets
1 record per sheet
Sheet Size: 5 1/2" x 7 7/8"
Ample writing area
Quality printing and construction

Rediform 2-Part Carbon Driver's Daily Logs, 5.5"L x 7.88"W, 31 Sets/Book (6K681)

Item: 421004

Model: 6K681

11

Price is $8.19

Next-Day Delivery by Mon, Sep 29

ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 10/Pack (510010)~#|#~227F7392-4154-4993-A23144FC14F097D7_sc7

ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 10/Pack (510010)~#|#~D9765213-599E-4835-BA66D933C30B09F6_sc7

Item: 24507945

Model: 510010

6

Price is $9.99

Delivery by Wed, Oct 08

ComplyRight 2025 1096 Annual Transmittal For U.S. Information Returns Tax Form, 1-Part, Pack of 50 Forms~#|#~74003283-63B4-446C-8302D98311B5628C_sc7

ComplyRight 2025 1096 Annual Transmittal For U.S. Information Returns Tax Form, 1-Part, Pack of 50 Forms~#|#~883EF0E9-046E-41E6-9C8839E03CD061A8_sc7

ComplyRight 2025 1096 Annual Transmittal For U.S. Information Returns Tax Form, 1-Part, Pack of 50 Forms is New at Staples

Item: 24650543

Model: 510050

No reviews yet

Price is $7.79

Delivery by Tue, Oct 07

All US employers are required to verify the identity and employment eligibility of new hires using the mandatory form I-9. Stay compliant with the law by using the most recent form I-9 and following the instructions and record keeping guidelines that accompany it.

This form must be completed no later than the time of hire, which is the actual beginning of employment. Both employer and employee are required to fill in information to complete an I-9 form.
Stay compliant with the law by using the recent form I-9 and following the instructions and record keeping guidelines that accompany it.
1 Page Equals 1 Form

ComplyRight 2025 I-9 Tax Form, 1-Part, I-9, 50/Pack (A2416)~#|#~D271A8A0-8156-41C9-A275E15248CD47A8_sc7

Item: 24461406

Model: A2416

No reviews yet

Price is $68.39

Free delivery by Wed, Oct 08

File form 1099-MISC for each person in the course of your business to whom you have paid the following during the year: at least $10 in royalties or broker payments in lieu of dividends or tax-exempt interest; at least $600 in rents, prizes, and awards; any fishing boat proceeds; medical and health-care payments; and various other income payments including, but not limited to, those to an attorney or nonqualified deferred compensation. You must also file form 1099-MISC for each person from whom you have withheld any federal income tax under the backup withholding rules, regardless of the amount of the payment.

File form 1099-MISC for each person in the course of your business to whom you have paid during the year
Single-part, 3-up: Recipient Copy B/C with C backer information
For laser printers
Pack contains 50 tax forms
Blank tax form
Dimensions: 8.5" x 11"

ComplyRight 2025 1099-MISC Tax Form, 1-Part, 3-Up, Recipient Blank, 50/Pack (517350)~#|#~AFFB4663-BA57-4540-A0963575B94EDC9E_sc7

ComplyRight 2025 1099-MISC Tax Form, 1-Part, 3-Up, Recipient Blank, 50/Pack (517350)~#|#~8963B41E-65B5-4D2D-981F43F1B01E1209_sc7

Item: 24507974

Model: 517350

1

Price is $23.99

Delivery by Wed, Oct 08

ComplyRight is one of the market leaders in providing government compliant forms: tax forms, health insurance claim forms, and import/export forms, to print brokers, dealers, distributors, and resellers. Their customers have come to rely on them for these forms as well as the most up-to-date information regarding the form requirements, content, and pending changes.

Blank Tax Form for 1099, 1098, 5498
Horizontal Perforations without Stub
Pack of 1,500 Forms

ComplyRight 2025 Blank Tax Form for 1099, 1098, 5498, 3-Up, 1500/Pack (5145B)~#|#~8D0932A2-18ED-44D1-922BA2C21C575C5A_sc7

ComplyRight 2025 Blank Tax Form for 1099, 1098, 5498, 3-Up, 1500/Pack (5145B) is New at Staples

Item: 24650549

Model: 5145B

No reviews yet

Price is $105.49

Free delivery by Tue, Oct 07

Medical Arts Press Travel Card Chiropractic Forms - Feature print on both sides

Medical Arts Press Travel Card Chiropractic Forms allow carryover of chief complaints and treatment. They feature print on both sides to track up to 20 visits on one card. They are available in 250 sheets/pack.

Set Up In Popular S.O.A.P. Format of Subjective, Objective, Assessment & Plans
Allows Carryover Of Chief Complaints & Treatment
Printed On Both Sides to Track Up to 20 Visits On One Card
250 Sheets/Pack
Size: 8.5 x 11 inch

Medical Arts Press Chiropractic Forms, Travel Card (21704)~#|#~m002246641_sc7

Medical Arts Press Chiropractic Forms, Travel Card (21704)~#|#~s0956641_sc7

Medical Arts Press Chiropractic Forms, Travel Card (21704) is Backorder

Item: 540916

Model: 21704

No reviews yet

Price is $28.49

Unit of measure 250/Pack

Delivery by Thu, Dec 04

This job application is perfect for non-exempt, temporary and hourly positions. Plus, it meets all EEOC and ADA requirements.

ComplyRight 50-State Job Application (Short Form) captures applicant personal information, skills, and related work experience. Application includes mandatory disclosures and complies with all federal and state employment laws.

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
50 job applications per pack
Each application measures 8.5” X 11”
Each application is one sheet – 2-sided

ComplyRight™ 50-State Job Application - Short Form, Pack of 50 (AR0374)

Item: 712164

Model: AR0374

5

Price is $67.39

Unit of measure 50/Pack

Free delivery by Tue, Oct 07

File form 1099-R for each person to whom you have made a distribution of $10 or more from profit-sharing or retirement plans, any individual retirement arrangements (IRAs), annuities, and more.

File form 1099-R for each person to whom you have made a distribution of $10 or more from profit-sharing or retirement plans, any individual retirement arrangements (IRAs), annuities, and more
Recipient Copy B, 2-Up
1 Page Equals 2 Forms
Pack of 50 tax forms

ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Recipient Copy B, 50/Pack (514150)~#|#~AE5F14CD-FEF5-4BDB-B6833BFAF6564C30_sc7

ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Recipient Copy B, 50/Pack (514150)~#|#~E0B5711F-2676-40D0-B007435D3402E220_sc7

Item: 24507943

Model: 514150

No reviews yet

Price is $23.99

Delivery by Wed, Oct 08

Simplify your company's onboarding process with these Adams new employee information forms.

Give your HR team access to essential documents with these new employee information forms. Each form provides dedicated space for filling out emergency contact information, personal data and training requirements for accurate record-keeping. The easy-to-understand layout streamlines operations for your human resources specialist, and the 50-count package makes this set of Adams new employee information forms a perfect option for busy hiring seasons.

Includes all you need to build a complete employee record
Contains 50 forms per package
Comes in white and blue
Dimensions: 11"H x 8.5"W

Adams New Employee Information Form, 50/Pack (ABF HR117) is In-store only

Item: 729756

Model: HR117

No reviews yet

Price is $8.46

See alternate delivery items

30-min pickup

ComplyRight 2025 1099-R Blank Tax Form, 4-Up, 500/Pack (5221B)~#|#~A13CD2C7-E0F9-4C22-AA33A274696DEE8A_sc7

ComplyRight 2025 1099-R Blank Tax Form, 4-Up, 500/Pack (5221B) is New at Staples

Item: 24650557

Model: 5221B

No reviews yet

Price is $92.79

Free delivery by Tue, Oct 07

Solid Color Style D Laser Statements - Feature teal statement body with white tear-off payment stub

Solid Color Style D Laser Statements feature white background and includes both VISA and MasterCard credit card payment sections. They are compatible with laser, inkjet and bubblejet printers. They are available in 500/package.

Solid Color Style D Laser Statements
Size: 8.5 X 11 Inch
500/Package
Compatible with laser, inkjet and bubblejet printers
24 lbs. Paper

Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30465D)~#|#~m002246469_sc7

Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30465D)~#|#~s0956622_sc7

Item: 524080

Model: 30465D

No reviews yet

Price is $28.09

Unit of measure 500/Pack

Next-Day Delivery by Mon, Sep 29

Solid Color Style D Purple without Credit Card Information Laser Statements - Available in 500/pack

Solid Color Style D Purple without Credit Card Information Laser Statements come in 500/pack and are compatible with inkjet, bubblejet and laser printers. They allow users to make payment statement in an effective way.

Solid Color Style D Purple without Credit Card Information Laser Statements
Size: 8.5 X 11 inch
500/Package
Compatible with laser, inkjet and bubblejet printers
24 lbs. Paper

Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30465C)~#|#~m002246468_sc7

Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30465C)~#|#~s0956621_sc7

Item: 524079

Model: 30465C

1

Price is $25.89

Unit of measure 500/Pack

Next-Day Delivery by Mon, Sep 29

File form 1099-DIV for each person: to whom you have paid dividends (including capital gain dividends and exempt-interest dividends), and other distributions.

File form 1099-DIV for each person: to whom you have paid dividends (including capital gain dividends and exempt-interest dividends) and other distributions on stock of $10 or more; for whom you have withheld and paid any foreign tax on dividends and other distributions on stock; for whom you have withheld any federal income tax on dividends under the backup withholding rules; or to whom you have paid $600 or more as part of a liquidation.
Recipient Copy B, 2-Up
1 Page Equals 2 Forms
Pack of 50 tax forms

ComplyRight 2025 1099-DIV Tax Form, 1-Part, 2-Up, Recipient Copy B, 50/Pack (513150)~#|#~AB0947EC-0532-4B8F-990C5CAE7BDF6E52_sc7

ComplyRight 2025 1099-DIV Tax Form, 1-Part, 2-Up, Recipient Copy B, 50/Pack (513150)~#|#~AFCDF3C3-7086-480E-882E2C1DD48A3617_sc7

Item: 24507951

Model: 513150

No reviews yet

Price is $23.99

Delivery by Wed, Oct 08

This job application is perfect for exempt, salaried, or management positions. Plus, it meets all EEOC and ADA requirements.

Attorney-written, ComplyRight 50-State Job Application (Long Form) is carefully worded to help you confidently screen applicants without violating any employment laws.

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
Contains all mandatory disclosures and omissions required by state and federal law
Includes EEOC-approved question regarding applicant’s ability to perform the job, with or without accommodation, and a general non-harassment clause
Includes questions about previous non-compete agreements, whether reapplying military applicants are covered under USERRA, an application timeframe disclaimer, and a false statement warning to notify applicants that submitting false information is not tolerated
Includes other important disclosures that protect an employer from liability, such as at-will employment statement and release for reference checking
50 job applications per pack
Each application measures 17" x 11", folded to 8.5" x 11"
Each application is one horizontal sheet folded, with 4 sides of content

ComplyRight™ 50-State Job Application (Long Form), Pack of 50 (A0019)

Item: 1949613

Model: A0019

No reviews yet

Price is $49.09

Free delivery by Tue, Oct 07

File form 1099-R for each person to whom you have made a distribution of $10 or more from profit-sharing or retirement plans, any individual retirement arrangements (IRAs), annuities, and more.

File form 1099-R for each person to whom you have made a distribution of $10 or more from profit-sharing or retirement plans, any individual retirement arrangements, annuities, pensions, etc.
Recipient Copy C and/or State, City or, Local or Copy 2, 2-Up
1 Page Equals 2 Forms
Pack of 50 tax forms

ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Recipient Copy C, 50/Pack (514250)~#|#~52830AE4-FC39-42BA-A8D88DA1F101BF89_sc7

ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Recipient Copy C, 50/Pack (514250)~#|#~63E446BB-BA16-4428-838564F06630CF37_sc7

Item: 24507928

Model: 514250

No reviews yet

Price is $23.99

Delivery by Wed, Oct 08

Rediform® Bill Of Lading, Snap-A-Way, Individual, Ruled Forms, 8 1/2" x 7", 250 Triplicates (44301)

Rediform® brand business forms represent the most professional way to do business. All of our carbonless business forms are manufactured with high-quality papers for sharp and clear image reproduction, faithful to the original.

Bill of lading provides accurate contractual wording for complete documentation and is punched to allow storage in a post binder
Business form size: 7"L x 8.5"W
3-Part Carbonless forms for accurate record keeping
Ruled
Individual Forms
Carbonless
250 Triplicates
First copy white, second one yellow, third one pink
Hole punched to store in post binder
1 record per sheet
Sheet Size: 8 1/2" x 7"
6 listing lines on each sheet
Quality printing and construction

Rediform Snap-A-Way 3-Part Carbonless Bill of Lading, 7"L x 8.5"W, 250 Sets/Book (44301)~#|#~sp42154390_sc7

Rediform Snap-A-Way 3-Part Carbonless Bill of Lading, 7"L x 8.5"W, 250 Sets/Book (44301)~#|#~sp42154388_sc7

Item: 421168

Model: 44301

1

Price is $74.79

Unit of measure 250/Pack

Free Next-Day eligible by Mon, Sep 29

Adams Residential lease features customizable agreement that lays out rental terms and conditions, state required landlord disclosures. Lease includes disclosure of information on lead-based paint/lead-based paint hazards. 2014-2015

Specify the rights and obligations of both landlord and tenant
Includes four sets of forms, instructions and Lead Paint Disclosure CD-ROM
Use to lease residential rental property to a tenant and outline the terms and conditions for payment

Adams Carbonless Rental Applications, 8.5" x 11", 4 Sets/Book (LF310)~#|#~2D539784-2F1A-4E92-B81E7F69D59D43C7_sc7

Adams Carbonless Rental Applications, 8.5" x 11", 4 Sets/Book (LF310)~#|#~B4FF2F9F-48CA-44E4-BACA63BE44CD2F5E_sc7

Item: 571323

Model: LF310

292

Price is $11.69

Next-Day Delivery by Mon, Sep 29

30-min pickup

Solid Color Style D Laser Statements - Feature a white background with printed change of address

Solid Color Style D Laser Statements feature a white background with printed change of address and VISA and MasterCard credit card payment sections. They are compatible with laser, inkjet and bubblejet printers. They are available in 500/package.

Solid Color Style D Laser Statements
Size: 8.5 X 11 inch
500/Package
Compatible with laser, inkjet and bubblejet printers
24 lbs. Paper

Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30465A)~#|#~m002246467_sc7

Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30465A)~#|#~s0956620_sc7

Item: 524077

Model: 30465A

3

Price is $44.49

Unit of measure 500/Pack

Free Next-Day eligible by Mon, Sep 29

Written Notice of Privacy Practices must be provided to patients on or before the first encounter and to other persons on request. The Notice notifies the patient of all uses and disclosures of his or her protected health information and outlines all the legal duties of the practice.

Form is over seven pages, completely comprehensive and includes all of the key elements required by HIPAA and more! The form also contains a removable label which provides practices with a written acknowledgement that the patient received the Privacy Notice (as required to be HIPAA compliant). No need for practice to make copies and file additional paperwork, simply place the label onto the patient folder. Form is also available in Spanish.

250 sets per pack
8-part form
Removable label for patient's folder

Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074044)~#|#~462E0463-E71C-4DF0-82D4BB8613352916_sc7

Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074044)~#|#~68DF0C8B-CFCC-4A0B-841308949DC20F7F_sc7

Item: 24644899

Model: 074044

No reviews yet

Price is $199.99

Free delivery by Tue, Oct 07

Shows what was ordered and what was shipped

TOPS Snap Off shipper/packing list form is used to record what was ordered and what was shipped. Shipper/packing list form measures 8-1/2" x 7" and it contains 8 listing lines, black-print copies.

Complete with all necessary documentation for shipments
3-part carbonless, white, canary, pink paper sequence
Not numbered
8 listing lines, black-print copies
1 form per page
50 forms
8 1/2" x 7 7/16"
SFI Certified Sourcing
Made in the USA

TOPS Snap-Off 3-Part Carbonless Packing Slips, 8-1/2" x 7", 50 Sets/Book (3834)

Item: 377682

Model: 3834

2

Price is $25.99

Unit of measure 50/Pack

Next-Day Delivery by Mon, Sep 29

ComplyRight Employee Separation Forms (AR0373)

Item: 712163

Model: AR0373

1

Price is $57.89

Unit of measure 25/Pack

Free delivery by Tue, Oct 07

Accuform Hard Hat/Helmet Decal, SAFE DRIVER, 2 1/4", Adhesive Vinyl, 10/Pack (LHTL148)~#|#~s0953359_sc7

Item: 1195230

Model: LHTL148

No reviews yet

Price is $14.89

Unit of measure 10/Pack

Delivery by Mon, Oct 20

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits. Features OCR red ink for scanning.

CMS-1500 claim forms expedite Medicare, Medicaid, or private insurance benefits. NUCC, CMS, and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
Made in the USA
250 forms per pack

TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11" (50135RV)~#|#~s1053550_sc7

Item: 2408453

Model: 50135RV

13

Price is $33.69

Unit of measure 250/Pack

Next-Day Delivery by Mon, Sep 29

Rediform® Bill Of Lading, Speediset Polypack, White, Ruled, 8 1/2" x 7 5/8", 50 Triplicates (6P695)

Rediform® brand business forms represent the most professional way to do business. All of our carbonless business forms are manufactured with high-quality papers for sharp and clear image reproduction, faithful to the original.

Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 7"L x 8.5"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
Ruled
Individual Forms
Carbonless
50 Triplicates
All copies are white
Hole punched to store in post binder
1 record per sheet
Sheet Size: 8 1/2" x 7 5/8"
8 listing lines on each sheet
Quality printing and construction

Rediform Speediset Polypacks 3-Part Carbonless Bill of Lading, 7"L x 8.5"W, 50 Sets/Book (RED6P695)~#|#~sp44341823_sc7

Item: 508631

Model: RED6P695

4

Price is $27.59

Unit of measure 50/Pack

Next-Day Delivery by Mon, Sep 29

Solid Color Style B Laser Statements with Credit Card Information - Feature credit card alert for speed payment

Solid Color Style B Laser Statements with Credit Card Information feature an easy-tear perforation and credit card alert for speed payment. They include patient updated information and are compatible with laser, inkjet and bubblejet printers.

Credit card alert helps speed payment - VISA and MasterCard only
Includes patient update
Easy-tear perforation is 3-11/16" from top for removal of white payment stub
24lb. bond paper
Laser, inkjet, and bubblejet compatible
Size: 8-1/2x11"

Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (33176D)~#|#~s0956628_sc7

Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (33176D)~#|#~s0956626_sc7

Item: 532919

Model: 33176D

1

Price is $47.59

Unit of measure 500/Pack

Free Next-Day eligible by Mon, Sep 29

Ensure complete and accurate shipments with these TOPS three-part carbonless bill of lading sets.

Track cargo precisely with these detailed bills of lading. With room to record up to 10 items, these white forms highlight critical information, including hazardous material alerts, in bright red print to catch customers' attention. These TOPS three-part bills of lading are carbonless for clean processing and come in a box of 50 sets to ensure your workplace remains always stocked.

Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 8.5"L x 7.63"W; detached: 8.5"L x 7"W
3-Part Carbonless forms for accurate record keeping
3-Part White Carbonless forms for accurate record keeping
Micro-perforations allow bills to be separated cleanly
Made in the USA

TOPS 3-Part Carbonless Bill of Lading, 8.5"L x 7"W, 50 Sets/Book (3841)

Item: 514755

Model: 3841

5

Price is $21.39

Unit of measure 50/Pack

Next-Day Delivery by Mon, Sep 29

Written Notice of Privacy Practices must be provided to patients on or before the first encounter and to other persons on request. The Notice notifies the patient of all uses and disclosures of his or her protected health information and outlines all the legal duties of the practice.

Form is over seven pages, completely comprehensive and includes all of the key elements required by HIPAA and more! The form also contains a removable label which provides practices with a written acknowledgement that the patient received the Privacy Notice (as required to be HIPAA compliant). No need for practice to make copies and file additional paperwork, simply place the label onto the patient folder. Form is also available in Spanish.

250 sets per pack
8-part form
Removable label for patient's folder

Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074045)~#|#~28C4D7DF-A13D-4289-868CDAD351D1F9FF_sc7

Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074045)~#|#~A472D4C4-C425-47D6-BF8A9839A43BA04B_sc7

Item: 24643944

Model: 074045

No reviews yet

Price is $362.99

Free delivery by Tue, Oct 07

ComplyRight Patient acknowledgment of receipt of privacy practices notice measures 8 1/2" x 11".

ComplyRight Patient acknowledgment of receipt of privacy practices notice is attorney approved form acknowledging patient's information to be released to an authorized third party. Notice measures 8 1/2" x 11".

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"
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant

ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)~#|#~s0456534_sc7

Item: 398026

Model: A1354

No reviews yet

Price is $65.09

Unit of measure 200/Pack

Free delivery by Tue, Oct 07

Solid Color Style A Laser Statements - Feature purple statement body with white tear-off payment stub

Solid Color Style A Laser Statements feature white background with printed change of address and VISA and MasterCard credit card payment sections. They are compatible with laser, inkjet and bubblejet. They are available in 500/package.

Light Purple Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3.68 From top Of Sheet
24 Lbs. Ledger Stock
Laser, Inkjet & Bubblejet Compatible
500/Pack
Size: 8.5 x 11 inch

Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30471C)~#|#~s0956631_sc7

Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30471C)~#|#~s0956624_sc7

Item: 524088

Model: 30471C

No reviews yet

Price is $27.79

Unit of measure 500/Pack

Delivery by Fri, Oct 03

Ship hazardous and non-hazardous items with the proper documentation by using these TOPS snap-off bill of lading expanded forms.

Pick up these triplicate expanded forms for businesses that ship materials and products frequently. Each of these forms comes in standard copy and print paper size with individual lines so items are easily listed and organized. These TOPS snap-off bill of landing forms are made of high-quality paper and are manufactured in the US.

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
Bill of lading forms are white
50 forms per pack
Made in the USA

TOPS 3-Part Carbonless Bill of Lading, 11.44"L x 8.5"W, 50 Sets/Book (3846)

Item: 508637

Model: 3846

4

Price is $26.89

Unit of measure 50/Pack

Next-Day Delivery by Mon, Sep 29

Written Notice of Privacy Practices must be provided to patients on or before the first encounter and to other persons on request. The Notice notifies the patient of all uses and disclosures of his or her protected health information and outlines all the legal duties of the practice.

Form is in Spanish, over seven pages, completely comprehensive and includes all of the key elements required by HIPAA and more! The form also contains a removable label which provides practices with a written acknowledgement that the patient received the Privacy Notice (as required to be HIPAA compliant). No need for practice to make copies and file additional paperwork, simply place the label onto the patient folder.

250 sets per pack
8-part form
8.5" x 11" sheet size

Cosco Notice of Privacy Practices, Spanish, 8-Part, 250 Forms/Pack (074046)~#|#~D248DE12-265D-48D6-A3ED8B82D036611D_sc7

Cosco Notice of Privacy Practices, Spanish, 8-Part, 250 Forms/Pack (074046)~#|#~64C1B7AB-904C-4465-9378DCE879BF4B23_sc7

Cosco Notice of Privacy Practices, Spanish, 8-Part, 250 Forms/Pack (074046) is Out of stock

Item: 24643945

Model: 074046

No reviews yet

Price is $89.99

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