LEGACY UB-92 (644)    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 9
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 55
LENGTH 3
SHORT DESCRIPTION CONDITION CODE 1 (FL-24)