null

Guaranteed Lowest Pricing On All SC Johnson Professional Products, Contact Us!! 

TOPS™

Ub04 Hospital Insurance Claim Form For Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total - TOP59870R

(No reviews yet) Write a Review
SKU:
TOP59870R
MPN:
59870R
Weight:
26.00 LBS
Shipping:
Calculated at Checkout
$343.15
$341.32
— You save $1.83

Sorry this product is temporarily out of stock

Description

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

Product Features

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.

Item Dimensions
Weight: 26.0 lbs.
Height: 10.25 in
Depth: 12.0 in
Width: 9.25 in

View AllClose

Additional Information

Features:
-Printed to Government Printing Office standards.-OCR ink for scanning.-American Medical Association (AMA) approved format.
View AllClose