Rediform® Two-part Statement Of Earnings Book

Two-Part Statement
of Earnings Book
Comprehensive Employee
Application Form
Employee Application
Form
Employee Status
Report
Business Forms Employee's
Record File Folder

Rediform® Two-Part Statement of Earnings Book

Bound-in black-print carbonless duplicates keep a permanent record of earnings and deductions of hourly and salaried employees. Statements can be used for any time period. Detached size 3-5/8 x 6-3/8. 50 sets per book.

Order Qty	Item No		Description		Sold By	List Price	Your Price	You Save
	RED4L416 Check Stock		Statement of Earnings/Deductions, 6-3/8 x 3-5/8, 2-Part, 50 Sets/Book		Each	$4.75	$3.14	34%

TOPS® Comprehensive Employee Application Form

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TOPS® Comprehensive Employee Application Form

The most comprehensive inquiry into a candidate's history, including past employment, references, education, personal information and check-offs for special questions.
Full page for interviewer's appraisal.
Complies with state and federal laws prohibiting discrimination.

Order Qty	Item No		Description		Sold By	List Price	Your Price	You Save
	TOP3288 Check Stock		25 Forms per Pack	11 x 17	Pack	$15.74	$10.91	31%

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TOPS® Employee Application Form

Complies with state and federal laws prohibiting discrimination.
Employment history, references, education, personal information, physical record and check-offs for special questions.
Space for interviewer's remarks.

Order Qty	Item No		Description		Sold By	List Price	Your Price	You Save
	TOP32851 Check Stock			8-1/2 x 11	Pack	$17.52	$9.82	44%

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TOPS® Employee Status Report

Documents a change in employee status and the reason for the change.
Section for leave of absence time period and reason for leave.
Authorized by and Approved by signature lines.

Order Qty	Item No		Description		Sold By	List Price	Your Price	You Save
	TOP3840 Check Stock		50 Reports per Pack	5-1/2 x 8-1/2 Detached	Pack	$7.97	$5.47	31%

TOPS® Business Forms Employee's Record File Folder

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TOPS® Business Forms Employee's Record File Folder

Update employee history and status on front.
Record confidential material on back.
Record post-hire information on the back.
Open sides; can be inverted for confidentiality.

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	TOP3287 Check Stock		20 Folders per Pack	9-3/8 x 11-3/4	Pack	$19.01	$13.63	28%

TOPS® Centers for Medicare and Medicaid Services (CMS) Forms with Sensor Bar

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TOPS® Centers for Medicare and Medicaid Services (CMS) Forms with Sensor Bar

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.

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Continuous Form
Carbonless duplicate.
	TOP50129R Check Stock	100 Sets per Carton	Two-Part Form	Pack	$26.06	$20.93	20%
	For laser printers.
	TOP50135R Check Stock	250 Sets per Carton	One-Part Form	Pack	$20.42	$14.51	29%

Human Resources Forms

Rediform® Two-Part Statement of Earnings Book

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