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Ub04 Hospital Insurance Claim Form For Laser Printers, One-part (no Copies), 8.5 X 11, 2,500 Forms Total

Ub04 Hospital Insurance Claim Form For Laser Printers, One-part (no Copies), 8.5 X 11, 2,500 Forms Total

  • Item #: TOP59870R
  • Brand: TOPS™
  • Type: Office

65 in stock

Regular price $202.99
Regular price Sale price $202.99
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Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Color Family White
Copy Types One-Part (No Copies)
Dated/Undated Undated
Form Quantity (Total) 2
500 500
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 Recycled % 0%
Print and Ruling Color(s) Red
Printer Compatibility Laser
Recycled Content % 0%
Ship Class Code M
Special Features Laser Printer Compatible
Total Recycled % 0%

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