Abstract: A business form adapted for both record keeping and the reporting of information includes a record ply (10) and a pressure sensitive adhesive label ply (12), (14), (16) overlying and secured to the record ply (10). The record ply (10) has a plurality of different record receiving locations (36), (38), (40), (42) at each of which variable information to be recorded may be inscribed. Fixed information 46 is inscribed on the record ply and identifies each of the recording receiving locations (36), (38), (40), (42). Die cuts (50) in the pressure sensitive adhesive label ply (12), (14), (16) are provided and are located to define a plurality of removable pressure sensitive adhesive labels (60), (62), (64), (66) that are aligned with corresponding ones of the record receiving locations (36), (38), (40), (42). Fixed information (76) is located on each of the labels and correlates with the fixed information (46) at the corresponding record receiving locations.