LEGACY UB-92 (620)    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 4
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 69
LENGTH 13
SHORT DESCRIPTION FORM LOCATOR 11 (FL-11/1)