UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
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Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Additional information
| Weight | 15.0800 lbs |
|---|---|
| Dimensions | 12.00 × 9.25 × 10.25 in |
| Format Indicator | Unbound |
| Form Size | 8.5 x 11 |
| Printer Compatibility | Laser |
| Form Type Details | UB04 |
| Global Product Type | Insurance Forms |
| Special Features | Laser Printer Compatible |
| Paper Stock | 20 lb Bond |
| Ship Class Code | M |
| Product Biodegradability in | 0 |
| Color Family | White |
| Dated/Undated | Undated |
| Print and Ruling Color(s) | Red |
| Paper Color(s) | White |
| Forms Per Page | 1 |
| Copy Types | One-Part (No Copies) |
| Form Quantity (Total) | 2,500 |
| Post-Consumer Recycled Cont | 0% |
| Pre-Consumer Recycled Conte | 0% |
| Total Recycled Content Perc | 0% |
| UPC | 025932598708 |
| MPN | 59870R |
| Brand | TOPS™ |
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