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Jaxplaza CMS-1500 Claim Forms, 02/12 Version

Jaxplaza

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Brand: Jaxplaza

Color: red

Features

  • APPROVED OMB-0938-1197 (Version 02/12)
  • 1-Part Laser Form CMS-1500 printed in red ink
  • For Laser and Inkjet Printers
  • Size: 8-1/2" X 11"; Weight: 24# Paper
  • 8,500 Sheets

Details

Jaxplaza CMS-1500 insurance claim forms feature the 02/12 version and are printed in red ink for clear form completion. These 1-part forms are designed for use with laser and inkjet printers and are supplied as a large sheet quantity for office recordkeeping.

UPC: 093588001101