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UB04 Hospital Insurance Claim Form for Laser Printers, One- Part (No Copies), 8.5 x 11, 2, 500 Forms Total
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Item:
TOP59870R
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
Please note that you are not authorized to order this item. Please contact your eProcurement department.
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Manufacturer:
TOPS™
Catalog:
eCatalog
Catalog page:
N/A
Technical Specs:
Global Product Type
Insurance Forms
Form Type Details
UB04
Dated/Undated
Undated
Forms Per Page
1
Format Indicator
Unbound
Copy Types
One-Part (No Copies)
Color Family
White
Form Size
8.5 x 11
Form Quantity (Total)
2,500
Paper Color(s)
White
Printer Compatibility
Laser
Paper Stock
20 lb Bond
Print and Ruling Color(s)
Red
Product Biodegradability in Days
0
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Special Features
Laser Printer Compatible
