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

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

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

9 In Stock
Item Code: TOP59870R
Category Forms
Manufacturer TOPS BUSINESS FORMS
Freight Item - Delivery Charge Applies
Free Shipping on orders over $75

Free Shipping on most orders over $75,

(Excl. freight Items where indicated). See shipping policy for details

Estimated Delivery: 1 to 3 Business Days.

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%

Description

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.
Choose your size or colour to add to basket, prices are from.
$219.81 / Carton
/
LIST PRICE $343.15
36%
- +
Compare

Need bulk quantities for this item?

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

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

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

9 In Stock
Item Code: TOP59870R
Category Forms
Manufacturer TOPS BUSINESS FORMS
Choose your size or colour to add to basket, prices are from.
$219.81 / Carton
/
LIST PRICE $343.15
36%
- +
Compare

Description

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.
Freight Item - Delivery Charge Applies
Free Shipping on orders over $75

Free Shipping on most orders over $75,

(Excl. freight Items where indicated). See shipping policy for details

Estimated Delivery: 1 to 3 Business Days.

Need bulk quantities for this item?

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%

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