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UB04 Hospital Insurance Claim Form 8 1/2 x 11 2,500 Forms

KWD 70
Brand
Tops
Weight
11.8 kg
All electronics ship with US style plugs. You may need a voltage converter or a plug adapter.
– 1 +

Description

Tops Business Forms 59870R UB04 Hospital Laser Printer 1-Part Claim Form, 8-1/2" x 11", 2500 Per Carton UB04 hospital insurance claim form.
Printed to Government Printing Office standards.
OCR ink for scanning.
American Medical Association (AMA) approved format.
- Printout Paper

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