LEGACY UB-92 (612) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
LEGACY UB-92
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
1
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
35
LENGTH
35
SHORT DESCRIPTION
PRINT STAT (UB92 TOP LINE)