UB-04 (1550)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM UB-04
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 1
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE .9
SHORT DESCRIPTION UB-04 PRE-FORM HOUSEKEEPING
CALCULATE ONLY OR OUTPUT CALCULATE ONLY