LEGACY HCFA-1500 (600) 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	35
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	28
LENGTH	21
SHORT DESCRIPTION	BOX 17a HCFA 1500