LEGACY UB-92 (748)    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 60
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 19
LENGTH 8
SHORT DESCRIPTION OTHER PROC CODE 4 (FL-81/2.3)