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JANITORIAL SUPERSTORE HOLIDAY HOURS

TOPS™ Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack

$47.20

Care Information

We take pride in providing our customers the best customer service. If you have any questions about our products, please don't be afraid to reach out to one of our representatives. The fastest way to reach one of our Sales Representatives is to give us a call at (863) 324-0911. If you prefer to contact us not by phone, you can also visit our contact us form by CLICKING HERE

Delivery and Shipping

Most shipments are shipped using FedEx, USPS, or UPS. Janitorial Superstore Delivery, Freight, or other private delivery companies may be used for Eligible Orders or Locations.

SHIPPING DEAL: $10 SHIPPING ON ALL ORDERS OVER $75! (Excludes Alaska & Hawaii)

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Item: TOP50126RV

    • Top sensor bar for microfiche duplication, as required in some states.
    • OCR red ink for scanning.
    • Product Details
    • Description
    • Warranty Information
    Form Size (W x H): 8 1/2 in x 11 in   Format: Loose Form  
    Global Product Type: Insurance Claim   Layout: One Form per Sheet  
    Paper Color(s): White   Paper Stock: 20-lb.  
    Post-Consumer Recycled Content Percent [Nom]: 0 %   Pre-Consumer Recycled Content Percent [Nom]: 0 %  
    Principal Heading(s): 1500 Health Insurance Claim Form   Print and Ruling Color(s): OCR Red  
    Printer Compatibility: Laser   Punching: Unpunched  
    Total Recycled Content Percent [Nom]: 0 %  

    Payment & Security

    Payment methods

    • American Express
    • Apple Pay
    • Discover
    • Google Pay
    • Mastercard
    • Shop Pay
    • Visa

    Your payment information is processed securely. We do not store credit card details nor have access to your credit card information.

    Help and Advice

    Need a few things cleared up? We will be happy to assist. Give us a call at (863) 324-0911 or click the link below to reach a Sales Representative.

    Frequently Asked Questions

    Shipping

    What countries do you ship to?

    We currently only ship to the United States. Our shipping department is currently in development to add international shipping but that offer is currently not available yet.

    How long will it take to receive my order?

    Standard Ground shipping normally takes 1-5 days once shipped. We have multiple warehouses across the United States and shipping times vary on inventory location. Expediated shipping may be available on some products for an additional charge.

    Returns and Refunds

    How do I return a product?

    Janitorial Superstore will accept returns on all regularly stocked items, except any Liquid or Powder Products, as long as they are unused, in the original packaging, and returned within 30 days of receipt. Special Order Items, Equipment, and Equipment parts are also not eligible for return. To see our full refund policy, please CLICK HERE.

    How long will it take to receive my refund?

    Refunds are processed within 5 to 7 business days from when we receive the item, and the item has passed inspection.

    TOPS™ Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack - Janitorial Superstore
    Janitorial Superstore

    TOPS™ Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack

    $47.20

    Item: TOP50126RV

    View product

    Item: TOP50126RV

      • Top sensor bar for microfiche duplication, as required in some states.
      • OCR red ink for scanning.
      • Product Details
      • Description
      • Warranty Information
      Form Size (W x H): 8 1/2 in x 11 in   Format: Loose Form  
      Global Product Type: Insurance Claim   Layout: One Form per Sheet  
      Paper Color(s): White   Paper Stock: 20-lb.  
      Post-Consumer Recycled Content Percent [Nom]: 0 %   Pre-Consumer Recycled Content Percent [Nom]: 0 %  
      Principal Heading(s): 1500 Health Insurance Claim Form   Print and Ruling Color(s): OCR Red  
      Printer Compatibility: Laser   Punching: Unpunched  
      Total Recycled Content Percent [Nom]: 0 %