LEGACY HCFA-1500 (569) 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	60
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	23
LENGTH	26
SHORT DESCRIPTION	FAC ADR LINE 1 (BX-32/LN 2)