LEGACY UB-92 (624) 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
5
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
45
LENGTH
6
SHORT DESCRIPTION
STATEMENT THRU DATE (FL-6B)
