TOPS BUSINESS FORMS
CMS 1500 Claim Form, Laser, 20 lb, 8-1/2"x11", WE
Item # TOP50135RV · Mfr part # 50135RV
In stock
Contact us for GSA contract pricing.
Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers.
Specifications
| Brand | TOPS BUSINESS FORMS |
|---|---|
| Item # | TOP50135RV |
| Mfr part # | 50135RV |
| UPC | 025932513503 |
| Unit of measure | PK |
| Unit of issue | PK |
| Packaging | 1SH/PK, 8PK/CT |
| Dimensions (L x W x H, in) | 11 x 8.5 x 1.1 |
| Weight (lb) | 2.59 |
| Country of origin | United States Of America |
| UNSPSC | 14111806 |
| GSA SIN | 339940 |