LEGACY UB-92 (720) 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
52
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
22
LENGTH
24
SHORT DESCRIPTION
EMPLOYER NAME (FL-65A:C)
