LEGACY HCFA-1500 (519) 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	41
LENGTH	1
SHORT DESCRIPTION	COND REL TO EMP=NO (BX-10A/B)