Shop TOPS

Health Insurance Claim Form, 11" L, PK2500

  • Mfr # 59870R

  • Zoro # G7141001


product price: 
$
229.99
/pk of 2500, $0.09/ea
Free Shipping & Returns

Key Features

Features
Printed in Scannable OCR, Red Ink
Color
White
Product Type
Claim Form
Dated/Undated
Undated
Form Code
UB04
See all product information
Unlock 30-day payment terms
Unlock 30-day payment terms
Business customers can apply for Net 30—no fees, no interest, fast approval. Terms apply.
Create Account
Get 10% off your order
Get 10% off your order
Sign up for our email list and receive your promo code via email.

Specifications

Details

MFR #
59870R
Zoro #
G7141001
UPC #
-
Country of Origin
United States
Item
Health Insurance Claim Form
Features
Printed in Scannable OCR, Red Ink
Color
White
Product Type
Claim Form
Dated/Undated
Undated
Form Code
UB04
Copy Type
No Copies
Number of Parts
One-Part
Paper Weight
20 lb
Recycled Content
0 %
Paper Color
White
Number of Forms
2,500
Compatible Product Type
Inkjet Printer, Laser Printer
Standards
AMA, GPO
For Printer Type
Inkjet, Laser

Description

Tax Forms, Package Quantity 2500

Ratings & reviews