LEGACY HCFA-1500 (576)    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 3
MAX NUMBER LINES 4
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 1
LENGTH 80
SHORT DESCRIPTION MAILING ADDR FULL (FORM LN 3)