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TOPS™ UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
In Stock
Item: 59870R | By: TOPS™
$186.83CT
$333.15
$333.15
Condition
New
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Product description
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
33test33
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Specifications
Color Family
White
Color Family
White
Copy Types
One-Part (No Copies)
Copy Types
One-Part (No Copies)
Dated/Undated
Undated
Dated/Undated
Undated
Form Quantity (Total)
2500
Form Quantity (Total)
2500
Form Size
8.5 x 11
Form Size
8.5 x 11
Form Type Details
UB04
Form Type Details
UB04
Format Indicator
Unbound
Format Indicator
Unbound
Forms Per Page
1
Forms Per Page
1
Global Product Type
Insurance Forms
Paper Color(s)
White
Paper Color(s)
White
Paper Stock
20 lb Bond
Paper Stock
20 lb Bond
Post-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Print and Ruling Color(s)
Red
Print and Ruling Color(s)
Red
Printer Compatibility
Laser
Printer Compatibility
Laser
Product Biodegradability in Days
0
Product Biodegradability in Days
0
Product_Description
FORMUB-041-PTLASERWE
Product_Description
FORMUB-041-PTLASERWE
Special Features
Laser Printer Compatible
Special Features
Laser Printer Compatible
Total Recycled Content Percent
0%
Total Recycled Content Percent
0%
Global Product Type
Insurance Forms