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Ub04 Hospital Insurance Claim Form, 8.5 X 11, 1-page, 2,500 Forms
$312.69
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Global Product Type: Forms-Insurance 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...
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
- Global Product Type: Forms-Insurance
- 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
- Ship Class Code: M"
