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

Item Code: TOP59870R

Category Forms

Manufacturer TOPS BUSINESS FORMS

Description

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Laser Printer Compatible. Form Type Details: UB04; Dated: No; Forms Per Page: 1; Form Size: 8.5 x 11.

Specifications

Made In

UNSPSC Code

14111806

Weight

26lb

Height

10.25in

Width

9.25in

Length

12in

Brand

TOPS™

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

Item Code: TOP59870R

Category Forms

Manufacturer TOPS BUSINESS FORMS

Specifications

Made In

UNSPSC Code

14111806

Weight

26lb

Height

10.25in

Width

9.25in

Length

12in

Brand

TOPS™

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

Description

Specifications

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

Description

Specifications

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