TOPS™ Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack — Janitorial Superstore Skip to content

TOPS™ Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack


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TOPS™ Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack - Janitorial Superstore




Product Information

$47.20


Item Number & Vendor


JSS Item #:

Vendor Name:

Janitorial Superstore

Product Notes


  • Doesn't Qualify For Free Shipping Offers. 

  • This Product Ships USPS, Fedex, or UPS

    *We may use company delivery trucks on all orders near Janitorial Superstore Locations.

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About This Product


Item: TOP50126RV

    • Top sensor bar for microfiche duplication, as required in some states.
    • OCR red ink for scanning.
    • Product Details
    • Description
    • Warranty Information
    Form Size (W x H): 8 1/2 in x 11 in   Format: Loose Form  
    Global Product Type: Insurance Claim   Layout: One Form per Sheet  
    Paper Color(s): White   Paper Stock: 20-lb.  
    Post-Consumer Recycled Content Percent [Nom]: 0 %   Pre-Consumer Recycled Content Percent [Nom]: 0 %  
    Principal Heading(s): 1500 Health Insurance Claim Form   Print and Ruling Color(s): OCR Red  
    Printer Compatibility: Laser   Punching: Unpunched  
    Total Recycled Content Percent [Nom]: 0 %  

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