This shirt is of excellent quality and is very comfortable. I really like the French cuffs. It comes with the collar tab insert. This is the best price I have found for a clerical shirt and it is a fantastic buy. One caveat, if you are going for the bigger sizes, the shirt I received was sized for a "tall" rather than "big" fit, so if you are a larger user and try your normal big size, the shirt may be small. You may need to go one size up.