LEGACY UB-92 (774)    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 65
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 80.1
SHORT DESCRIPTION CHECK FOR MULTIPLE PAGES
CALCULATE ONLY OR OUTPUT CALCULATE ONLY