Printing A UB-04 Form

Index

    Printing A UB-04 Form

    To print data on a UB-04 form first initialize the fields to be printed in the UB04FormData class then print them using the UB04Form class.

    Step 1 – Initialize Fields to Print

    UB04FormData ubData = new UB04FormData();
    ubData.Box1A = “Jane Smith”;
    ubData.Box1B = “123 Maple Drive”;
    ubData.Box1C = “Decalb IL 12345”;
    ubData.Box1D = “800 1234244”;
     
    ubData.Box2A = “Jane Smith”;
    ubData.Box2B = “123 Maple Drive”;
    ubData.Box2C = “Decalb IL 12345”;
    ubData.Box2D = “800 1234244”;
     
    ubData.Box3A = “112121”;
    ubData.Box3B = “3B12324355”;
     
    ubData.Box4 = “831”;
    ubData.Box5 = “343434334”;
     
    ubData.Box6A = DateTime.Today;
    ubData.Box6B = DateTime.Today;
     
    ubData.Box7 = “Box7”;
    ubData.Box8A = “Jane Smith”;
    ubData.Box8B = “Last Name”;
    ubData.Box9A = “12345 EVERYDAY STREET”;
    ubData.Box9B = “MOFFITT AVENUE”;
    ubData.Box9C = “NY”;
    ubData.Box9D = “11223”;
    ubData.Box9E = “123”;

    Step 2 – Print the Field

    UB04Form ub04Form = new UB04Form();
    ub04Form.Data.Add(ubData);
    ub04Form.Print();
     
    Please make sure that UB-04 forms are in the printer before calling the Print() method

    Sample Output

    Note that the printing offsets may need to be slightly adjusted in the sample below.  See the Setting Printing Offsets topic.

    in UB – 04 Form
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