0 Items
Home  >  Office  >  Forms, Recordkeeping & Reference Materials  >  Forms  > Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms

Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms

Item #: TOP50124RV-ES 
TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms
  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • OCR red ink for scanning.
  • Continuous Form.
Enter zip code to see availability and order.
Click Here
TOP3846-ES
Adaptable to all types of shipments to any location in the country. Simplified form to itemize 16 articles. Headings for article descriptions, shipping units, weight, rate and charges. Three-Part Carbonless16 listing lines. Form Size: 8.5 x 11; Forms Per Page: 1; Number of Entry Lines: 16; Form Quantity: 50.

Forms

Copy Paper Color(s)
White
Copy Types
Three-Part Carbonless
Form Quantity
50
Form Size
8.5 x 11
Forms Per Page
1
Global Product Type
Forms-Shipping & Receiving
Layout
One Form per Sheet
Number of Entry Lines
16
Numbering
Preprinted at Bottom on All Parts
Numbering Color(s)
Blue
Paper Color(s)
Blue/White
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
Bill of Lading
Print and Ruling Color(s)
Blue
Punching
Bottom: Two-Hole,Top: Hanging Hole
Sheet Size
11.44 x 8.5
Special Features
Three-Part Carbonless-16 listing lines.
Total Recycled Content Percent
0%
UPC
025932384608

Need Item In Bulk?

Become a Sigma Direct Customer, negotiated pricing and inventory management, with payment terms that suit your budget needs. Our customer services make the process quick and easy. Call us at (800) 264-1661.

CONTACT US
TOP3847-ES

Bill of Lading,16-Line, Four-Part Carbonless, 8.5 x 11, 1/Page, 50 Forms

TOPS™ Bill of Lading
  • Adaptable to all types of shipments to any location in the country.
  • For 16 or fewer items.