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Forms & Books > Claim Forms & Envelopes > Dental Claim Forms > Easy Dental Compatible Claim Forms >

Easy Dental™ F-1 Compatible Claim Forms; 2-Part, Pin-Feed

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Item # 174-30177

$87.00
per Box
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1500 EACH = 1 BOX

Buy more, save more!: $106.00; Buy 2$98.00; Buy 4+$87.00

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Description Specifications

Designed specifically to work with Easy Dental. Fully F-1 compatible, easy-to-complete form saves time, streamlines claim filing and speeds payments. 2-part carbonless pin-feed form; 1,500 per package. Size: 9-1/2"x11" overall; 8-1/2x11" detached.

Product Information: Form Type :

Insurance; Format :

Dental Claim Form; Sheet Size :

9-1/2" x 11"; Form Size :

8-1/2" x 11"; Media Quantity :

1500; Binding Type :

Continuous; Paper Color :

White; Number of Parts :

2; Carbonless :

No; # Up Per Sheet/Page :

1; NCR Paper :

No; Numbered :

No; Holes Punched :

None; Personalization :

No; Security Features :

No
Miscellaneous: Brand Name :

TFP; Country of Origin :

USA
Weight: Weight :

27.20 lbs. per Box