0 CART
items in your cartto quote
Ooops no items were found.
Try something else.
Ok
Loading…
TOP59870R TOP59870R
TOP59870R TOP59870R

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

22 Inventory on Hand
Item Code: TOP59870R
Category Forms
Manufacturer TOPS BUSINESS FORMS
Made In

US

UNSPSC Code

14111806

Weight

26lb

Height

10.25in

Width

9.25in

Length

12in

Brand

TOPS

Category

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

Special Features

Laser Printer Compatible

Total Recycled Content Percent

0%

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.
TOP59870R TOP59870R
TOP59870R TOP59870R

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

22 Inventory on Hand
Item Code: TOP59870R
Category Forms
Manufacturer TOPS BUSINESS FORMS
Made In

US

UNSPSC Code

14111806

Weight

26lb

Height

10.25in

Width

9.25in

Length

12in

Brand

TOPS

Category

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

Special Features

Laser Printer Compatible

Total Recycled Content Percent

0%

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.
SEARCH ×