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Group Hospital Insurance Form

SKU
MPSBRG-273/3
In stock
More Information
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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