TOPS UB-04 Forms, 1 Part, White, 8 1/2" x 11", Box Of 2,500

Product Specifications

• Assembly Required
  No
• Brand Name
  Tops
• Certifications & Standards
  American Medical Association
• Copy Types
  One-Part (No Copies)
• Country of Origin
  US
• Dated/Undated
  Undated
• Environmental Certification
  Sustainable Forestry Initiative (SFI)
• Features
  Double Sided
• Form Length
  11"
• Form Size
  8.5 x 11 8.5 x 11
• Form Width
  8.50"
• Forms Per Page
  1
• Global Product Type
  Insurance Forms
• Manufacturer
  TOPS BUSINESS FORMS
• Manufacturer Part Number
  59870R
• Manufacturer Website Address
  www.tops-products.com
• Marketing Information
  UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. Forms are printed to Government Printing Office standards in OCR ink on 20 lb bond.
• Number of Holes Punched
  0
• Number of Parts
  1
• Packaged Quantity
  2500 / Carton
• Packaging
  2500
• Paper Color(s)
  White
• Paper Stock
  20 lb Bond
• Post-Consumer Recycled Content Percent
  0%
• Pre-Consumer Recycled Content Percent
  0%
• Print Color
  Red
• Print Technology
  Laser
• Print and Ruling Color(s)
  Red
• Printed Side
  Front
• Printer Compatibility
  Laser
• Product Color
  White
• Product Line
  UB-04 Forms
• Product Model
  UB-04
• Product Name
  1-part UB-04 Laser-cut Forms
• Product Type
  Medical Claim Form
• Quantity
  2500
• Recycled
  No
• Refurbished
  N
• Sheet Size
  Letter (8-1/2" x 11")
• Special Features
  Laser Printer Compatible
• Total Recycled Content Percent
  0%