Centers for Medicare and Medicaid Services Forms, 8 1/2 x...
$41.99
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR...
Hazardous Material Short Form, 7 x 8 1/2, Three-Part Carbonless, 250 Forms
$70.99
Tax excluded
Hazardous material check-off column highlighted with red symbol. Emergency response phone number box with red printing. For ten or fewer items.
TOPL3841
120 Items
Data sheet
- Special Features
- Carbonless Triplicate
- Punching
- Top
- Punching
- Bottom
- Paper Color(s)
- Blue
- Paper Color(s)
- White
- Global Product Type
- Forms-Shipping & Receiving
- Pre-Consumer Recycled Content Percent
- 0%
- Post-Consumer Recycled Content Percent
- 0%
- Total Recycled Content Percent
- 0%
- Form Size
- 7 x 8 1/2
- Forms Per Page
- 1
- Number of Entry Lines
- 10
- Form Quantity
- 250
- Sheet Size
- 7 7/16 x 8 1/2
- Principal Heading(s)
- Bill of Lading
- Layout
- One Form per Sheet
- Print and Ruling Color(s)
- Blue/Red
- Numbering
- Preprinted at Bottom on All Parts
- Numbering Color(s)
- Blue
- Copy Types
- Three-Part Carbonless
- Copy Paper Color(s)
- White
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Use this simplified form to itemize up to 10 articles. Hazardous material information areas. Includes Memorandum Copy for agent's or shipper's files.