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.
Description
Specifications
Made In
US
UNSPSC Code
14111806
Weight
26lb
Height
10.25in
Width
9.25in
Length
12in
Brand
TOPS™
Category
Forms
