NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets)
| Country | USA |
| Brand | HCFA Envelopes |
| Manufacturer | HCFA Envelopes |
| Binding | Office Product |
| ItemPartNumber | W2A38805C |
| Model | OP-32151 |
| Size | One Size |
| UnitCount | 500 |
| UPCs | 718117765926 |
| EANs | 0718117765926 |
| ReleaseDate | 0000-00-00 |