For on-location jobs. Space for descriptions of work performed, materials used, cost of labor and summary on back of card stock copy. Three part carbonless with canary and Manila tag copies.
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR...
For on-location jobs. Space for descriptions of work performed, materials used, cost of labor and summary on back of card stock copy. Three part carbonless with canary and Manila tag copies.