FORM,UB-04,1-PT,LASER,WE
Item Id | 628058 |
Manufacturer # | TOP-59870R |
Manufacturer | TOPS™ |
Country of Origin | United States |
Color Family | White |
Copy Types | One-Part (No Copies) |
Dated/Undated | Undated |
Form Quantity (Total) | 2,500 |
Form Size | 8.5 x 11 |
Form Type Details | UB04 |
Format Indicator | Unbound |
Forms Per Page | 1 |
Global Product Type | Insurance Forms |
Is_Active_Vendor | Y |
Is_DSCSA | N |
Is_Discontinued | N |
Is_Medical_Device | N |
Lot_Tracking_Flag | N |
On_Allocation | N |
Paper Color(s) | White |
Paper Stock | 20 lb Bond |
Post-Consumer Recycled Content Percent | 0% |
Pre-Consumer Recycled Content Percent | 0% |
Print and Ruling Color(s) | Red |
Printer Compatibility | Laser |
Special Features | Laser Printer Compatible |
Supplier_ID | 3784663 |
Total Recycled Content Percent | 0% |
UNSPSC | 14111806 |
Features
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.