CMS Form, Ream Margins-Continuous, 2-Part Carbonless, White/White, 1500 ST/CT

$221.83
TOPS
Must be purchased in multiples of 1 carton
TOP 50124RV
Continuous 2-part carbonless CMS form.CMS, NUCC and OMB approved format.Printed in red OCR ink on white 20 lb. paper. Size: 9-1/2" x 11", Detached:8-1/2" x 11".White, 1500 forms per carton. Version (0/12) for use beginning January 6, 2014.
Available in increments of 1
  • Continuous 2-part CMS-1500 health insurance claim form
  • Printed in OCR red ink for scanning
  • Approved by NUCC, OMB and CMS
  • White, letter-size 20 lb. Bond
  • Made in the USA
  • 1500 sets per pack
  • Bulk packed
More Information
Item # TOP 50124RV
Length 9.5
Width 11
Color White
Templates Available N
Load Style N/A
Demo Address N/A
Paper Weight 20 lb.
Acid Free N/A
Dimensions N/A
Cover No
Sheet Count N/A
Backing 27 pt.
Perforated N/A
Perforation Type NA
Primary Page Coloring White
Number of Sheets per Pad N/A
Number of Sheets per Pack N/A
Pages Numbered No
Pages Consecutively Numbered No
Hole Punched No
Printed Front and Back Yes
Form Type Medical
Forms Per Page 1
Form Quantity 1500
Sections N/A
Duplicate Page Coloring White
Triplicate Page Coloring N/A
Detached Form Size 11 x 8.5
Sheet Size 11 x 9.5
Form Duplicate Carbonless
Number of Forms Per Page 1
Number of Sets per Book/Package 1500
Hole Punch Location N/A
Compatible With: Continuous feed printers
CD Included No
Wrap-around Cover No
Stub No
Time Clock Compatibility N/A
Self-Seal No
Time Increments N/A
Corner and Spine Color N/A
Cover Texture N/A
Cover Interior Printing N/A
Book Size N/A
Format N/A
Ribbon Bookmark N/A
Purchasing Quantity Must be purchased in multiples of 1 carton
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