LEGACY HCFA-1500 (518) 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
21
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
35
LENGTH
1
SHORT DESCRIPTION
COND REL TO EMP=YES (BX-10A/A)
