LEGACY HCFA-1500 (567)    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 59
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 50
LENGTH 30
SHORT DESCRIPTION AGENT CASHIER NM (BX-33/LN 1)