Easy-to-read forms make it easy to submit your claims
- Form for submitting your Federal health insurance claims.
- Compatible with laser printers.
- Forms are printed on white paper with red ink.
- SFI certified.
| Item # | 563654 |
| Manufacturer # | CMS1500CV |
| Color (Ink) | Red |
| sheet size | Letter (8-1/2″ x 11″) |
| number of holes punched | 0 |
| double sided | No |
| claim type | Medical |
| number of parts | 2 |
| carbonless | Yes |
| acid free | No |
| Product Line | Health Insurance Claim Form |
| binding type | Perforated |
| quantity | 100 |
| brand name | Adams |
| Eco Label Standard | SFI Certified Fiber Sourcing |
| manufacturer | CARDINAL BRANDS, INC |
| Total Quantity | 100 Medical Claim Forms |
| UPC | 087958150001 |














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