LEGACY UB-92 (749) 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
27
LENGTH
7
SHORT DESCRIPTION
OTHER PROC DATE 4 (FL-81/2.4)
