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Group Hospital Insurance Form

In stock

SKU

MPSBRG-273/3

$194.74

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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