PrintWorks Professional 5-Hole Top Pre-Punched Paper for Fastener File Folders, Binders, Clipboards - Letter - 8 1/2" x 11" - 20 lb Basis Weight - 5-holes punched - Pre-punched - 500 / Ream - White

Office paper is compatible with laser printers, inkjet printers, digital printers and copiers. Bright, high-quality paper is perfect for a variety of business, medical, legal and educational applications. Five-hole, top-punched paper is designed for printing charts, medical reports, patient records and more.