BLACKHAWK Inc



Browse by Category

Search:
Category: Forms
...

UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

SKU: TOP59870R

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.
Weight:26.0 lbs.
Unit of Measure:CT
 Login for pricing
See full description


Description

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.

Product Details

Global Product Type Insurance Forms
Form Type Details UB04
Dated/Undated Undated
Forms Per Page 1
Format Indicator Unbound
Copy Types One-Part (No Copies)
Color Family White
Form Size 8.5 x 11
Form Quantity (Total) 2,500
Paper Color(s) White
Printer Compatibility Laser
Paper Stock 20 lb Bond
Print and Ruling Color(s) Red
Product Biodegradability in Days 0
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
Special Features Laser Printer Compatible

Shipping Weight & Dimensions

Box Weight0.0 lbs.
Box Height0.0 in
Box Length0.0 in
Box Width0.0 in
Carton Height10.25 in
Carton Length
Carton Width9.25 in
Item Weight26.0 lbs.
Item Height10.25 in
Item Length12.0 in
Item Width9.25 in

Warranty

>






Product added to Favorites:

Product added to cart: