UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms
PRB05109
Global Product Type | Forms-Insurance |
Form Size | 9 1/2 x 11 |
Forms Per Page | 1 |
Form Quantity | 2500 |
Sheet Size | 9 1/2 x 11 |
Copy Types | Continuous Feed |
Paper Stock | 20 lb. |
Paper Color(s) | White |
Footnote 1 | One-part continuous feed, white |
Special Features | UB04 Hospital Insurance Claim Forms |