2 Part CMS Prescription Pads Size 4 ¼” x 5 ½” (Prescription Forms)
2 Part Security Pad
(4up2P-Blue or Green)
100 Sheets per Pad
Size 4 ¼” x 5 ½”
Each pad contains 100 sheets
Second Copy is unprinted yellow sheet with no security features.
12 Pads = 600 Scripts
24 Pads = 1,200 Scripts
48 Pads = 2,400 Scripts
96 Pads = 4,800 Scripts
6 security features
Warning: Absence of the Following Security Features May Indicate Alteration.
1. Tamper resistant background ink shows attempts to alter script.
2. Penetrating ink is used to prevent chemical “lifting” of information.
3. High security watermark on back side, which cannot be copied and can only be seen at 45o angle, is coin-reactive and changes color when scratched with a coin.
4. Each sheet is sequentially numbered for record keeping. (Not applicable with Laser sheets)
5. Security pantograph prints “VOID” on front when duplicated.
6. Thermochromatic ink on the front side. The word “SECURE” will fade away and reappear.
• Security Features on this document exceed CMS guidelines
Under our licensing agreement, all orders for Document Security Paper are reviewed and the information provided is confirmed by our Document Security Compliance Team.
Acceptance of any and all orders for Document Security Paper is at the discretion of the KwikTickets.com Document Security Compliance Team.
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