LEGACY HCFA-1500 (572)    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 61
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 23
LENGTH 27
SHORT DESCRIPTION FAC CITY/ST/ZIP (BX-32/LN 3)