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

Item #: TOP59870R-ES 
TOPS™ UB04 Hospital Insurance Claim Form
  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.
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TOP59870R-ES
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.

Forms

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%
UPC
025932598708

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