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Boxes of 2,500 Forms Boxes of 2,500 Forms
Medical Forms UB04LC

UB04 Claim Forms For Laser Printers

UB04 Laser Forms are fully updated with the latest form revisions. The form is 100% compliant with UCCI requirements and designed for use with most laser or inkjet printers. Form measurements: 8.5 X 11 Uses OCR "dropout" red ink for greater scanning accuracy Available in Boxes of 2,500 Forms
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SKU: UB04LC
$79.95

UB04 Laser Forms are fully updated with the latest form revisions. The form is 100% compliant with UCCI requirements and designed for use with most laser or inkjet printers.
Form measurements: 8.5 X 11
Uses OCR "dropout" red ink for greater scanning accuracy

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