TOPS™ UB04 Hospital Insurance Claim Form for Laser Printers 8.5" x 11" 2500 Forms Total 59870R
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In Stock
Free Shipping
In Stock
SKU
281-9394B85
TOPS™ UB04 Hospital Insurance Claim Form for Laser Printers 8.5" x 11" 2500 Forms Total
Printed to government printing office standards. Ocr ink for scanning. American medical association (ama) approved format.
Additional Information
- UPC: 025932598708
- UNSPSC: 14111821
- Brand: Tops Business Forms
- Color: White
- Package Quantity: 1
- Country of Origin: US
- FOB Origin: NJ
- Ships by: PARCEL
- Comes in a kit: No
- Newly added to catalog: No
- Item is on Clearance: No
- Contains Hazardous Materials: No
- CA Proposition 65 Applies: No
- Package Weight: 26.00
Product info last updated on May 12, 2026 7:49am UTC
Category: Paper