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)