Continuous - 9 " x 11" (8 " x 11" after detaching pin-feed)
5 Part set
Copy 1 Laboratory Copy
Copy 2 Medical Review Officer Copy
Copy 3 Collector Copy
Copy 4 Employer Copy
Copy 5 Donor Copy
2 Built-in Specimen labels on Part One
Form sets have sequentially-numbered Specimen ID Numbers
Each form set has its own Specimen ID Number
Specimen ID Number appears in Arabic number, Upper Right of form
Same Specimen Number is Bar Coded and Arabic-numbered on each of the two built-in Specimen Labels (A and B)
Built-in Specimen Labels (A and B) are to be affixed as specimen bottle seals.
Carbonless Transfer - computer printing, and hand-writing, appear on multiple parts
Please email us or call us at 1-800-982-3676 to request a price quote.Our stock form includes the above specifications.Please let us know if you have logo, ink color, or other special requirements. (Minimum quantity is 1,000)
