LEGACY HCFA-1500 (509)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 15
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 35
LENGTH 1
SHORT DESCRIPTION PT MARITAL STAT=SINGL (BX-8/A)