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Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Manufacturer: TOPS BUSINESS FORMS
SKU: TOP59870R
Manufacturer part number: 59870R
Availability: 26 in stock
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UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

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Zero Waste Policy

Our office is committed to minimizing environmental impact and promoting sustainable practices. This Zero Waste Policy outlines our dedication to reducing waste generation, increasing recycling efforts, and fostering a culture of sustainability among our employees.

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30 Days Return

We strive to provide our customers with high-quality products and excellent customer service. If, for any reason, you are not completely satisfied with your purchase, we are here to assist you with our return policy.

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Sustainability

At TIC Express we are committed to integrating sustainable practices into our daily operations to minimize our environmental impact and contribute to a more sustainable future. This sustainability policy outlines our commitment and actions to promote environmental responsibility within our office.

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Free Shipping

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