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UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
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Made In USA
Product Details
Product Highlights
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.
Product Specifications
| Dimensions / Specifications | |
|---|---|
| Unit of Measure | CT |
| Item Dimensions | 9.25 in. x 10.25 in. x 12.00 in. (W x H x D) |
| Item Weight | 26.000 lbs |
| Carton Pack Quantity | 2500 EA |
| Carton Pack Dimensions | 9.25 in. x 10.25 in. x 12.00 in. (W x H x D) |
| Carton Pack Weight | 26.000 lbs |
| This item is sold by the CT which contains 2500 EA | |
| Shipping Info | |
|---|---|
| Can Ship via UPS? | Yes |
| Can Ship via Air Carrier? | Yes |
| Hazmat restrictions? | No |
| Additional Information | |
|---|---|
| Is Certified with EPA/CPG? | No |
| Considered Green (less environmental impact)? | No |
| Made of Some or All Recycled Materials? | No |
| Warranty Offered? | No |
| Underwriter's Laboratory Approval? | No |
| Item Specifications | |
|---|---|
| Brand | TOPS |
| Global Product Type | Forms-Insurance |
| Printer Compatibility | Laser |
| Form Size | 8.5 x 11 |
| Forms Per Page | 1 |
| Form Quantity | 2,500 |
| Layout | One Form per Sheet |
| 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 |
| Manufacturer Info | |
|---|---|
| Brand | TOPS |
| Warranty Offered? | n |
| Manufacturer Stock No. | 59870R |
| Office Max Equivalent SKU | 21954208 |
| Office Depot Equivalent SKU | 526935 |
| Retail GTIN (UPC) | 50025932598703 |
| Country of Origin | US |
| UNSPSC Number | 00141118 |
| Product ID | 9461823 |
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