New York    607-428-0474
New Jersey    732-269-2345

CMS 1500 (08/05)
   CMSLC "New Version"
      1 Part : Laser
HCFA 1500 (12/90)
   No Bar Code
      1 Part : Continuous
      2 Part : Continuous
      3 Part : Continuous
      1 Part : Laser
   Bar Code
      1 Part : Continuous
      2 Part : Continuous
      3 Part : Continuous
      1 Part : Laser
      2 Part : Snap Set
   Jumbo HCFA Envelopes
      Left Window w/Wording
      Right Window w/Wording
      Right Window w/o Wording
   #10.5 Window Envelopes
      Gum-Seal w/o Imprinting
      Gum-Seal w/Imprinting
      Self-Seal w/o Imprinting
      Self-Seal w/Imprinting

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These forms are designed for processing on high-speed OCR (optical character recognition) scanning equipment, is printed in red "drop-out" ink on special bond paper in strict compliance with government printing specifications. The form is available with or without a bar code, which may be required by some health agencies.


HCFA 1500 : No Bar Code
2 Part (w/c) : Continuous Feed : 1000 ct.
FREE SHIPPING : QUANTITY DISCOUNTS







Paper Sequence: (w) White - (c) Canary - (p) Pink


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