LEGACY UB-92 (953)    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 4
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 33
LENGTH 5
SHORT DESCRIPTION UPPER FORM LOCATOR 5
CALCULATE ONLY OR OUTPUT OUTPUT