Item Code: TOP50126RV
                      
        
                
        
        
                  
            
              Category
              Claim/Medical Forms
            
          
        
                  Manufacturer TOPS Products 
        
        
        
        
        
                
    - Approved by the AMA and the National Uniform Claim Committee (NUCC)
 - Printed in red OCR ink without a sensor bar
 - Compatible with laser printers
 - Detached size: 8-1/2" x 11"
 
Description
Specifications
UNSPSC Code
                        14111806
Weight
                        5.4lb
Height
                        2.2in
Width
                        8.5in
Length
                        11in
Catalog Page Number
                        O109
Assembly Required
                        No
Basis Weight
                        20 lb
Brand
                        TOPS
Brand Name
                        TOPS
Category
                        Claim/Medical Forms
Certifications & Standards
                        - AMA
 - NUCC
 - Champus
 
Color Family
                        White
Country of Origin
                        United States
Form Length
                        8.50"
Form Width
                        11"
Height
                        9.5"
Manufacturer
                        TOPS Products
Manufacturer Part Number
                        50126RV
Manufacturer Website Address
                        http://www.tops-products.com
Number of Parts
                        1
Packaged Quantity
                        500 / Pack
Print Color
                        Red
Print Technology
                        Laser
Product Color
                        White
Product Material
                        Paper
Product Name
                        CMS-1500 Laser Printer Forms
Product Type
                        Health Insurance Form
Recycled
                        No
Width
                        11"
