LEGACY UB-92 (656) 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	11
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	4
LENGTH	7
SHORT DESCRIPTION	OCCURRENCE DATE (FL-32/2)