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Insurance/UB04 Hospital Claim Form - 8.5 in x 11.0 in - Tops - TOP59870R
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| * Handling fee may apply if shipped to the following states: TN |
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| Product Details |
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- Form Size (W x H) : 8 1/2 in x 11 in
- Sheet Size : 8.5 in x 11.0 in
- Laser Printer Compatibility
- 20 lb Paper stock
- red and white forms
Products are sometimes shown with optional equipment - material choices and/or finishes may affect pricing for furniture.
Some items may not comply with California Proposition 65.
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| Product Specifications |
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| Product Name: |
Insurance/UB04 Hospital Claim Form - 8.5 in x 11.0 in - Tops - TOP59870R |
| Manufacturer Name: |
Tops Business Forms |
| Product ID: |
TOP59870R |
| Manufacturer Part Number: |
TOP59870R |
| UPC: |
25932598708 |
| Vendor Description: |
FORM,UB-92, LASER,WE |
| Product Notes: |
FORM,UB-04, LASER,WE |
| Shipping Weight: |
25 lbs. |
| Product Weight: |
25 lbs. |
| Product Cube: |
0.5 |
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99 In Stock:
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