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TOPS 59870R UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms TOP59870R
Manufacturer: TOPS
Mfg Number: TOP59870R
UPC: 025932598708
SKU: 59870R
Condition: New
TOPS 59870R UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms TOP59870R
Global Product TypeForms-Insurance
Form Size8 1/2 x 11
Forms Per Page1
Form Quantity2500
LayoutOne Form per Sheet
Printer CompatibilityLaser
Paper Stock20-lb.
Paper ColorRed; White
Print and Ruling ColorRed
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Special FeaturesFor Laser Printers
Printed to Government Printing Office standards.
OCR ink for scanning.
American Medical Association (AMA) approved format.