UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

SKU

TOP59870R

by Tops

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$214.70 /CARTON

In stock

Category: Record Keeping & Money Handling

Details

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Laser Printer Compatible. Form Type Details: UB04; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

Color Family	White
Copy Types	One-Part (No Copies)
Dated/Undated	Undated
Form Quantity (Total)	2,500
Form Size	8.5 x 11
Form Type Details	UB04
Format Indicator	Unbound
Forms Per Page	1
Global Product Type	Insurance Forms
Paper Color(s)	White
Paper Stock	20 lb Bond
Post-Consumer Recycled Content Percent	0%
Pre-Consumer Recycled Content Percent	0%
Print and Ruling Color(s)	Red
Printer Compatibility	Laser
Product Biodegradability in Days	0
Special Features	Laser Printer Compatible
Total Recycled Content Percent	0%

More Information

Brand	Tops
Weight (lbs)	26.000000
UPC	025932598708
MPN	59870R

Reviews

UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

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