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.
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Description
Specifications
Delivery
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Description
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
No
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
Product Biodegradability Indicator
N
Product Compostability Indicator
N
Special Features
Laser Printer Compatible
Total Recycled Content Percent
0%
