LEGACY HCFA-1500 (603) 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	39
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	62
LENGTH	18
SHORT DESCRIPTION	ORIGINAL REF NO (BX-22/B)