This is an example of a 2023 revision Form 3800, Page 1, Part I, with field designators.Field 23001 is shown on Line 1. Field 23002 is shown on Line 2. Field 23003 is shown on Line 3. Field 23004 is shown on Line 4. Field 23005 is shown on Line 5. Field 2310B is shown on Line 10b. Field 2316B is shown on Line 16.