Paris Corporation CMS 02/12 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms PRB07116

Global Product Type	Forms-Insurance
Form Size	9 1/2 x 11
Forms Per Page	1
Form Quantity	1000
Sheet Size	9 1/2 x 11
Copy Types	Carbonless Duplicate
Paper Stock	20 lb.
Paper Color	White; Canary
Copy Paper Color	Canary
Footnote 1	Two-part continuous feed, white/canary. Carbonless
Special Features	Centers for Medicare and Medicaid Services (CMS) Forms

Expedite Medicare, Medicaid or private insurance claims processing.
Forms meet all Federal regulations.
Formerly known as HCFA-1500 forms.