What are the default/original CMS-1500 (HCFA) Form Setting Values?

The default settings for the 02-12 CMS-1500 Form are:

Form Settings: X = 0, Y = 0; Width = 764, Height = 976
Image Settings: X = -13, Y = -15; Width = 780, Height = 1026

See CMS-1500 Form Settings for more details.