UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
Item Code: TOP59870R
Category
Forms
Manufacturer TOPS BUSINESS FORMS
Specifications
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%
UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
Item Code: TOP59870R
Category
Forms
Manufacturer TOPS BUSINESS FORMS