8.5" x 11" 1 Part NCR Superior 22 lb CFB Green Paper, Item #5845 2 Part (Reverse) (2" x 1" Rectangle -

(2" x 1" Rectangle - Silver

8-1/2 x 11 (Letter Size) sheet with 1 perf at 3-3/4" from bottom

Next Day Labels  UB04 / CMS 1450 forms are completely compliant with NUBC format and coding requirements:

The Two-Part (White/Canary) Request Form is beneficial since you can distribute a copy of the form to your Employee and at the same time save one for your records

please make sure you are able to do it with your equipment since this is real heavy Made in the USA by Next Day Labels

8.5" x 11" 1 Part NCR Superior 22 lb CFB Green Paper, Item #5845 2 Part (Reverse) (2" x 1" Rectangle -Each Pack Includes 500 Seets Each Case Includes 5000 Sheets NCR (Carbon Less) Paper CFB Green (Carbon Coating on Back) Letter Size Will work for Laser, Ink Jet Printers NCR or Mead Brand Made in the USA, and Fully Guaranteed