TOPS™ - Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack

Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack

Product No.	TOP50135RV
Global Product Type	Forms-Insurance Claim
Form Size	11 x 8 1/2
Forms Per Page	1
Form Quantity	250
Principal Heading(s)	1500 Health Insurance Claim Form
Layout	One Form per Sheet
Printer Compatibility	Laser
Paper Stock	20-lb.
Paper Color(s)	White
Print and Ruling Color(s)	OCR Red
Form Special Features	For Laser Printers
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Special Features	For Laser Printers
Availability	Unavailable

List Price	N/A
PK	N/A

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*Company:
*Name:
*Email:
*Phone:
Address:
City:
State:
Ship to Zip code:
Location type:
Do you have a forklift or Loading Dock? Yes No
Do you Require a call to Schedule Delivery? Yes No