# REGIONAL MEDICAL CENTER RM1704417

FORM CONSENT SURG ENG 2/2016; FORM CHANGE OF TIME RPRT 4/05; DEATH / BEREAVEMENT FORM; FORM CONSENT SURG SPAN 4/2009;...

**Recipient:** 5003980 RR DONNELLEY

**Award Amount:** $216.00
**Ceiling:** $216.00

**Awarded:** August 14, 2026

**Identifier:** RM1704417

REGIONAL MEDICAL CENTER, a public hospital in San Jose, California, awarded purchase order RM1704417 to 5003980 RR DONNELLEY (RR Donnelley), totaling $216.00. Items purchased: 2 English surgical consent forms (FORM CONSENT SURG ENG 2/2016) at $20.80 each; 1 change-of-time report form (FORM CHANGE OF TIME RPRT 4/05) at $14.80; 2 death/bereavement forms at $40.50 each; 1 Spanish surgical consent form (FORM CONSENT SURG SPAN 4/2009) at $39.85; 2 time-off request forms (FORM REQUEST TIME OFF 10/99) at $10.25 each; and 1 registration label item (FORM REGISTRATION LABELS 4348LB) at $18.25. No special contract requirements are stated.

### Description

FORM CONSENT SURG ENG 2/2016; FORM CHANGE OF TIME RPRT 4/05; DEATH / BEREAVEMENT FORM; FORM CONSENT SURG SPAN 4/2009; FORM REQUEST TIME OFF 10/99; FORM REGISTRATION LABELS 4348LB