Material Handling Solutions Llc Material Handling Solutions Llc
4001 S Shary Rd Ste 550
Mission, TX 78572

Phone: 956-465-4177
Fax: 206-984-3770

Tops® Ub04 Hospital Insurance Claim Form printable version

   
Product No. TOP59870R
Global Product Type Forms-Insurance Claim
Form Type Insurance Claim
Format Loose Form
Form Size (W x H) 8 1/2 in x 11 in
Form Size 8 1/2 x 11
Forms Per Page 1
Sheet Size 8 1/2 X 11
Form Quantity 2500
Layout One Form per Sheet
Punching
Printer Compatibility Laser
Paper Stock 20-lb.
Paper Color(s) White
Print and Ruling Color(s) Red
Form Special Features For Laser Printers
Pre-Consumer Recycled Content Percent 0 %
Post-Consumer Recycled Content Percent 0 %
Total Recycled Content Percent 0 %
CT $186.97
Quantity