TOPS UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms TOP59870R 59870R

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

Global Product Type	Forms-Insurance
Form Size	8.5 x 11
Forms Per Page	1
Form Quantity	2500
Layout	One Form per Sheet
Printer Compatibility	Laser
Paper Stock	20-lb.
Paper Color	Red; White
Print and Ruling Color	Red
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Special Features	For Laser Printers