LEGACY UB-92 (721) 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
47
LENGTH
34
SHORT DESCRIPTION
EMPLOYER LOCATION (FL-66)
