| Basis Weight | 20 lb |
| Manufacturer Part Number | 50135RV |
| Product Name | CMS-15000 Health Insurance Claim Forms |
| Product Type | Health Insurance Form |
| Manufacturer Website Address | http://www.tops-products.com |
| Recycled | No |
| Print Color | Red |
| Brand Name | TOPS |
| Manufacturer | TOPS Products |
| Country of Origin | United States |
| Sheet Color | White |
| Sheet Size | 11" Width x 8.50" Length |
| Packaged Quantity | 1 Pack |