UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
Product Number: ESS-TOP59870R
$333.15
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.
ESS-TOP59870R
Data sheet
- Special Features
- For Laser Printers
- Special Features
- Laser Printer Compatible
- Paper Color(s)
- White
- Paper Color(s)
- Red
- Global Product Type
- Insurance Forms
- Global Product Type
- Forms-Insurance
- Dated/Undated
- Undated
- Color Family
- White
- Pre-Consumer Recycled Content Percent
- 0%
- Post-Consumer Recycled Content Percent
- 0%
- Total Recycled Content Percent
- 0%
- Unit Of Measure
- CT
- Form Size
- 8 1/2 x 11
- Form Size
- 8.5 x 11
- Forms Per Page
- 1
- Form Quantity
- 2500
- Form Quantity
- 2,500
- Layout
- One Form per Sheet
- Paper Stock
- 20 lb
- Paper Stock
- 20-lb.
- Paper Stock
- 20 lb Bond
- Print and Ruling Color(s)
- Red
- Copy Types
- One-Part (No Copies)
- Printer Compatibility
- Laser
- Form Type Details
- UB04
- Format Indicator
- Unbound
- Form Quantity (Total)
- 2,500
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.