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UB-04 Hospital Claim Form Large Left Window Envelope
UB-04 Hospital Claim Form Large Left Window Envelope
 


Product Code: 1492LL


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Description
 
UB-04 Hospital Claim Form Large Left Window Envelope. Perfect for mailing a large number of UB-04 Claim Forms. Contact us today at 877-212-1220 for a free sample.

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Double Window Envelope for 4-Up Box W-2 Self-Seal ***
1099-MISC Miscellaneous Rec Copy B, Payer/State Copy C & State/Extra File Copy ***
Single Window First Class 1040 Envelope
1096 Annual Summary & Transmittal (B109605)
1099-A Acquisition Lender or State Copy C

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