Group Hospital Insurance Form
SKU
MPSBRG-273/3
In stock
MPN | 273/3 |
---|---|
Packaging | 1 per each |
Size | 8 1/2In x 11In |
$214.79
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Briggs Form 273 clearly identifies which section should be completed by the hospital and which section is to be completed by the policyholder.
8 1/2" x 11" (detached), 3-part carbon-interleaved snapout set, top copy is printed on white paper with black ink, color coded copies. 250 per pack.
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