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

TOPS™
SKU:
TOP59870R
|
UPC:
025932598708
$308.99
$343.15
(You Save $34.16 )
(No Reviews Yet)
WEIGHT:
26.00 LBS
Current Stock:
29
Get it by ,
If ordered within hours and minutes
Not Shipping to ?
Adding to cart… The item has been added
Description
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Specifications
Product Biodegradability in Days:
0
Pre-Consumer Recycled Content Percent:
0%
Total Recycled Content Percent:
0%
Post-Consumer Recycled Content Percent:
0%
Ship Class Code:
M
Forms Per Page:
1
Dated/Undated:
Undated
Print and Ruling Color(s):
Red
Paper Color(s):
White
Form Type Details:
UB04
Color Family:
White
Form Size:
8.5 x 11
Printer Compatibility:
Laser
Format Indicator:
Unbound
Copy Types:
One-Part (No Copies)
Form Quantity (Total):
2,500
Paper Stock:
20 lb Bond
Special Features:
Laser Printer Compatible
Global Product Type:
Insurance Forms