Space for description of work, costs, totals. Check-off boxes for type of work and payment due. Back of card stock copy for shop provides a record of materials and labor costs. Three-part carbonless.
Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing...
Space for description of work, costs, totals. Check-off boxes for type of work and payment due. Materials/labor cost record on back of card stock copy. Three-part carbonless.