UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
New
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
| $86.15 USD Retail $211.25 |
Extended Warrenty
| 1 Year Extended Warrenty | $17.23 |
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Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Product Specifications
| Form Quantity | 2500 |
| Form Size | 8 1/2 x 11 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance |
| Layout | One Form per Sheet |
| Paper Color(s) | White |
| Paper Color(s) | Red |
| Paper Stock | 20-lb. |
| Post-Consumer Recycled Content Percent | 0% |
| Pre-Consumer Recycled Content Percent | 0% |
| Print and Ruling Color(s) | Red |
| Printer Compatibility | Laser |
| Product_Description | FORMUB-041-PTLASERWE |
| Special Features | For Laser Printers |
| Total Recycled Content Percent | 0% |
Material Safety Data Sheet
A Material Safety Data Sheet (MSDS) is a document that contains information on the potential hazards (health, fire, reactivity and environmental) and how to work safely with the chemical product.
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