Product Code: 45R4
Availability: In Stock
Price: $13.50

5 or more $13.30
10 or more $12.50
50 or more $11.74

Four-Part Deficiency Report

  • 4-part deficiency report.
  • 5-1/2 x 8-1/2 size.
  • Carbonless paper
    • White/yellow/pink/goldenrod.
  • School imprint available
    • Form 45R4-Imprint..
    • See Numbering & Imprinting for more information.
  • Also available in 3-part
    • Form 45R.
  • Sold per pack.
  • 1 pack = 100 sets.
    • White/yellow/pink/goldenrod paper.
    • Individual sets glued at top edge.
  • Sold for $13.50 per pack plus $30.00 imprint fee.
  • Order 10 packs or more and we will imprint this form for FREE!

Imprinting Instructions

School Imprint  - Please indicate school name, school address (optional) and school phone number (optional) you wish to have imprinted on your form in the Imprinting Information box.  Maximum of 4 lines.  For reorders without changes, just enter "NO CHANGE."

School Logo (optional) - Please upload your logo in the following formats: tiff, gif, bmp, jpeg, psd or pdf (minimum of 300 dpi). For reorders, no need to upload your logo unless it has changed since your last order.


Quantity Discounts: Order more for less!

  • Order 5 packs (500 sets) for $13.30 per pack plus $30.00 imprint fee.
  • Order 10 packs (1,000 sets) for $12.50 per pack. (Imprint is FREE!)
  • Order 50 packs (5,000 sets) for $11.74 per pack. (Imprint is FREE!)