LEGACY UB-92 (740) 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
58
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
12
LENGTH
7
SHORT DESCRIPTION
PRIN PROCEDURE DATE (FL-80/2)
