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

Part # TOP59870R

UPC 025932598708

$274.35

$185.99

Less than 10 available

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Product Details

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

Brand	TOPS
Form Size	8.5 x 11
Forms Per Page	1
Form Quantity	2,500
Layout	One Form per Sheet
Printer Compatibility	Laser
Paper Stock	20 lb
Paper Color(s)	White
Print and Ruling Color(s)	Red
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Special Features	For Laser Printers
Country of Origin	US
Prop65	No
Unit of Measure	CT
Last Updated	2/4/2022