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UB-04 Forms - Replaces UB-92 Forms

Printed on High Quality Paper to Government Standards

Available as:
  Individual Sheets (For Laser & Inkjet Printers)
  1 Part Continuous (Pinfeed) Forms
  2 Part Continuous (Pinfeed) Forms

UB-04 forms are available as individual sheets UB-04 forms are available as continuous forms

INDIVIDUAL SHEETS

CONTINUOUS

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Description

Quantity/Case

Price/Case

Secure Order

Individual Sheets

500

$19.99

 


Quantity:
 

Individual Sheets

2500

$37.00

 


Quantity:
 

1 Part Continuous

2500

$42.00

 


Quantity:
 

2 Part Continuous

1000

$42.95

 


Quantity:
 

Discounts available for large quantities.
Contract pricing available. Call for details!

Helpful Information for users of CMS forms

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