LEGACY HCFA-1500 (563)    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 57
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 19
LENGTH 1
SHORT DESCRIPTION ID NUMBER=EIN (BX-25/2B)