CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 25 Sheets APPROVED OMB-0938-1197 (Version 02/12) 1-Part Laser Form CMS-1500 printed in red ink For Laser and Inkjet Printers Size: 8-1/2" X 11" 25 Sheets