Skip to end of metadata
Go to start of metadata

You are viewing an old version of this page. View the current version.

Compare with Current View Page History

« Previous Version 5 Current »

PDF Templates

  • Added support for checkboxes, dropdowns and radio buttons.

New Dynamic Merge Codes

Merge Code Name

Description

CA-NEXT-APPMNT-TIME

Case Next Appointment Time of Specific Activity Type

CA-NOTES-ALL

All Notes of Specific Type

CA-STAFF-COMMENTS

Case Staff Comments of Specific Case Role

CA-TYPE-PROPERTY

Case Type Property Based on the Name. Properties and values can be configured in the Picklist Maintenance. Case Type Property and Case Type Property Value.

COURT-STAFF-ADDRESS-BLOCK

Court Staff Address Block Based on the Role

COURT-STAFF-FIRST-NAME

Court Staff First Name Based on the Role

COURT-STAFF-LAST-NAME

Court Staff Last Name Based on the Role

COURT-STAFF-NAME

Court Staff Name Based on the Role

COURT-STAFF-PREFIX

Court Staff Prefix Based on the Role

DEF-LIST-HORIZ

Horizontal List of Defendants With Specific Role

LIEN-ADDRESS-BLOCK

Lienor Address Block of Specific Type

SET-DIST-CHECKS-TYPE-TOTAL

Settlement Distribution Checks Total of Specific Type

SET-DIST-PL-CHECKS-TOTAL

Settlement Distribution Plaintiff Checks Total of Specific Status

VA-CLAIM-EVENT-APPEALED-ISSUE

Veteran Affairs Claim Event of Specific Type Appealed Issue

VA-CLAIM-EVENT-DATE

Veteran Affairs Claim Event of Specific Type Date

New Merge Codes

More than 600 new merge codes were added in this SmartAdvocate release, bringing total number of merge codes available to 3,600+.

Merge Code Name

Description

APPMNT-FROM-TIME-AST

Appointment Start Time in Alaskan Standard Time Zone

APPMNT-FROM-TIME-CST

Appointment Start Time in Central Standard Time Zone

APPMNT-FROM-TIME-EST

Appointment Start Time in Eastern Standard Time Zone

APPMNT-FROM-TIME-MST

Appointment Start Time in Mountain Standard Time Zone

APPMNT-FROM-TIME-PST

Appointment Start Time in Pacific Standard Time Zone

ARB-ADDR1

Arbitrator/Mediator Address Line 1

ARB-ADDR2

Third Arbitrator/Mediator Address Line 2

ARB-ADDR3

Arbitrator/Mediator Address Line 3

ARB-ADDRESS-BLOCK

Arbitrator/Mediator Address Block

ARB-ADDRESS-BLOCK-NO-NAME

Arbitrator/Mediator Address Block without name

ARB-ADDRESS-HORIZ

Arbitrator/Mediator Address Horizontal

ARB-CITY

Arbitrator/Mediator City

ARB-CITY-STATE-ZIP

Arbitrator/Mediator City, State Zip

ARB-CNTY

Arbitrator/Mediator County

ARB-CONT-PERSON-SUFFIX2

Arbitration/Mediation Contact Suffix2

ARB-EMAIL

Arbitrator/Mediator Email

ARB-FAX

Arbitrator/Mediator Fax

ARB-FIRST-NAME

Arbitrator/Mediator First Name

ARB-HE-SHE-IT

Arbitrator/Mediator He, She, or It

ARB-HIM-HER-IT

Arbitrator/Mediator Him, Her, or It

ARB-HIS-HER-ITS

Arbitrator/Mediator His, Hers, or Its

ARB-INIT

Arbitrator/Mediator Initials

ARB-LAST-NAME

Arbitrator/Mediator Last Name

ARB-NAME

Arbitrator/Mediator Name

ARB-ORG-ADDRESS-BLOCK

Arbitrator/Mediator Organization Address Block

ARB-ORG-ADDRESS-BLOCK-NO-NAME

Arbitrator/Mediator Organization Address Block without name

ARB-ORG-ADDRESS-HORIZ

Arbitrator/Mediator Organization Address Horizontal

ARB-PHONE#

Arbitrator/Mediator Phone Number

ARB-PREFIX

Arbitrator/Mediator Prefix

ARB-STATE

Arbitrator/Mediator State

ARB-SUFFIX

Arbitrator/Mediator Suffix

ARB-SUFFIX2

Arbitrator/Mediator Suffix2

ARB-ZIP

Arbitrator/Mediator Zip

ATTY-FOR-LIST-OTHERS-ALL-DEF-ATTYS

Attorney Firm List Other than Us including parties they represent(all def attorneys)

ATTY-SIGN-ALL-TABLE

Attorney firm service list with signature line for all Table

CA-ACTIVITY-TABLE-FIRST-ROWS

First n records of lists case activities (notes and appointments) that have fixed time associated with their types

CA-ACTIVITY-TABLE-LAST-ROWS

Last records of lists case activities (notes and appointments) that have fixed time associated with their types

CA-ATTY-MID-INIT

Case Attorney Middle Initials

CA-ATTY-SEL-WEBSITE

Case Attorney Website Select

CA-ATTY-WEBSITE

Case Attorney Website

CA-DEF-HE-SHE-IT-THEY

Case Defendant He, She, It or They

CA-DEF-HIM-HER-IT-THEM

Case Defendant Him, Her, It or Them

CA-DEF-HIS-HER-ITS-THEIRS

Case Defendant His, Hers, Its or Theirs

CA-DEF-S-IF-MULTIPLE

's if there is more than one defendant in the case

CA-DEF-TOTAL-AVAIILABLE-COVERAGE

Case Defendants Total Liability Coverage Available

CA-DOC-CATEGORY

Case Document Category

CA-DOC-COMMENTS

Case Document Comments

CA-DOC-DATE

Case Document Date

CA-DOC-DESCRIPTION

Case Document Description

CA-DOC-FROM

Case Document From Contact

CA-DOC-SUBCATEGORY

Case Document SubCategory

CA-DOC-TO

Case Document To Contact

CA-ENTITY-ADDRESS-BLOCK-NO-NAME

Case Contacts Address Block without name

CA-ENTITY-MIDDLE-NAME

Case Contact Middle Name

CA-EXP-TABLE-REC-WITHOUT-REPAID

Case Disbursement Table only Disbursement type recoverable and not paid

CA-EXP-TABLE-WITHOUT-REPAID

Case Disbursement Table includes All Disbursement Types that not paid

CA-EXP-TOT-AFTER-SPLIT

Case Disbursement Total after firm split only disbursement type recoverable and not waived

CA-EXP-TOT-BEFORE-SPLIT

Case Disbursement Total before firm split only disbursement type recoverable and not waived

CA-EXP-TOT-PLUS-INTEREST

Case Disbursement Total with Interest only disbursement type recoverable and not waived

CA-FIRMFEE-PLUS-FUND

Sum of Case Firm Fee and Amount of Fundings

CA-FIRMFEE-PLUS-FUND-REFATTYFEE

Sum of Case Firm Fee, Referring Attorney Fee and Amount of Fundings

CA-FUND-TOTAL

Case Total Amount of Fundings

CA-GROUP

Case Group

CA-NUM

Case File Number

CA-PARA-WEBSITE

Case Paralegal Website

CA-PARTY-ADJ-INIT

Case Party Adjuster Initials

CA-PARTY-ADJ-SUFFIX

Case Party Adjuster Suffix

CA-PARTY-ADJ-SUFFIX2

Case Party Adjuster Suffix2

CA-PARTY-INS-INSURED-SUFFIX2

Case Party Insurance Insured Suffix2

CA-PL-HE-SHE-IT-THEY

Case Plaintiff He, She, It or They

CA-PL-HIM-HER-IT-THEM

Case Plaintiff Him, Her, It or Them

CA-PL-HIS-HER-ITS-THEIRS

Case Plaintiff His, Hers, Its or Theirs

CA-PL-S-IF-MULTIPLE

's if there is more than one plaintiff in the case

CA-PL-TOTAL-AVAIILABLE-COVERAGE

Case Plaintiffs Total Liability Coverage Available

CA-PRIMARY-CONT-SUFFIX2

Case Primary Contact Suffix2

CA-PRIMARY-DEF-SUFFIX2

Primary Defendant Suffix2

CA-PRIMARY-PL-HEIGHT

Primary Plaintiff Height

CA-PRIMARY-PL-SUFFIX2

Primary Plaintiff Suffix2

CA-PRIMARY-PL-WEIGHT

Primary Plaintiff Weight

CA-REF-OUT-LF-LIST-HORIZ

Horizontal List of Referred Out Law Firms

CA-SET-EST-RANGE

Case Estimated Value Range

CA-SET-EXPECTED-TABLE

Case Settlements Expected Table

CA-SET-MINUS-FIRMFEE-FUND

Case Settlement Amount Minus Case Firm Fee and Amount of Fundings

CA-SET-MINUS-FIRMFEE-FUND-EXP

Case Settlement Amount Minus Case Firm Fee, Amount of Fundings and Recoverable not Waived Disbursements

CA-SET-MINUS-FIRMFEE-FUND-EXP-NEGLIEN

Case Settlement Amount Minus Case Firm Fee, Amount of Fundings, Recoverable not Waived Disbursements and Case Lienor Negotiated Amount

CA-SET-MINUS-FIRMFEE-REFATTYFEE-FUND

Case Settlement Amount Minus Case Firm Fee, Referring Attorney Fee and Amount of Fundings

CA-SET-MINUS-FIRMFEE-REFATTYFEE-FUND-EXP

Case Settlement Amount Minus Case Firm Fee, Referring Attorney Fee, Amount of Fundings and Recoverable not Waived Disbursements

CA-SET-MINUS-FIRMFEE-REFATTYFEE-FUND-EXP-NEGLIEN

Case Settlement Amount Minus Case Firm Fee, Referring Attorney Fee, Amount of Fundings, Recoverable not Waived Disbursements and Case Lienor Negotiated Amount

CA-SET-MIN-VALUE

Minimum Settlement Value

CA-SET-VALUE

Settlement Value

CA-SET-VALUE-COMMENTS

Case Estimated Value Comments

CA-SP-DMG-TOTAL

Case Special Damages Total Amount

CA-STAFF-WEBSITE

Case Staff Website

CA-STATUS-DATE

Case Status Date

CA-SUB-STATUS-DATE

Case Sub Status Date

CA-SUB-STATUSDAYS

Case Sub Status Days

CA-TOTAL-AVAIILABLE-COVERAGE

Case Total Liability Coverage Available

CL-ADDR1

Client Address Line 1

CL-ADDR2

Client Address Line 2

CL-ADDR3

Client Address Line 3

CL-ADDRESS-BLOCK

Client Address Block

CL-ADDRESS-BLOCK-NO-NAME

Client Address Block without name

CL-ADDRESS-HORIZ

Client Address Horizontal

CL-AGE

Client Age

CL-AGE-EXP

Client Age Expanded

CL-AGE-YM-EXP

Client Age Year Month Expanded

CL-AOE-ADDR1

Client Administrator of Estate Address Line 1

CL-AOE-ADDR2

Client Administrator of Estate Address Line 2

CL-AOE-ADDR3

Client Administrator of Estate Address Line 3

CL-AOE-ADDRESS-BLOCK

Client Administrator of Estate Address Block

CL-AOE-ADDRESS-BLOCK-NO-NAME

Client Administrator of Estate Address Block Without Name

CL-AOE-ADDRESS-HORIZ

Client Administrator of Estate Address Horizontal

CL-AOE-CITY

Client Administrator of Estate City

CL-AOE-CITY-STATE-ZIP

Client Administrator of Estate City, State Zip

CL-AOE-CNTY

Client Administrator of Estate County

CL-AOE-DOB

Client Administrator of Estate Date Of Birth

CL-AOE-FIRST-NAME

Client Administrator of Estate First Name

CL-AOE-LAST-NAME

Client Administrator of Estate Last Name

CL-AOE-NAME

Client Administrator of Estate Full Name

CL-AOE-PHONE#

Client Administrator of Estate Phone Number

CL-AOE-PREFIX

Client Administrator of Estate Prefix

CL-AOE-SSN

Client Administrator of Estate Social Security Number

CL-AOE-STATE

Client Administrator of Estate State

CL-AOE-SUFFIX

Client Administrator of Estate Suffix

CL-AOE-SUFFIX2

Client Administrator of Estate Suffix2

CL-AOE-ZIP

Client Administrator of Estate Zip

CL-CITY

Client City

CL-CITY-STATE-ZIP

Client City, State Zip

CL-CNTY

Client County

CL-DIVORCED-X

Merges as X if Client is Divorced, Underscore Otherwise

CL-DOB

Client Date Of Birth

CL-DOB-DAY

Client Date Of Birth (Day)

CL-DOB-FULL

Client Date Of Birth Full Date Format

CL-DOB-MONTH

Client Date Of Birth (Month)

CL-DOB-YEAR

Client Date Of Birth (Year)

CL-DOD

Client Date Of Death

CL-DOD-EXP

Client Date Of Death Expanded

CL-EIN#

Client EIN Number

CL-EMAIL

Client Email

CL-FAX

Client Fax

CL-FEMALE-X

Merges as X if Client is Female, Underscore Otherwise

CL-FIRST-NAME

Client First Name

CL-FULL-NAME

Client Full Name

CL-GENDER

Client Gender

CL-GUARDIAN-ADDR1

Client Guardian Address Line 1

CL-GUARDIAN-ADDR2

Client Guardian Address Line 2

CL-GUARDIAN-ADDR3

Client Guardian Address Line 3

CL-GUARDIAN-ADDRESS-BLOCK

Client Guardian Address Block

CL-GUARDIAN-ADDRESS-BLOCK-NO-NAME

Client Guardian Address Block Without Name

CL-GUARDIAN-ADDRESS-HORIZ

Client Guardian Address Horizontal

CL-GUARDIAN-CITY

Client Guardian City

CL-GUARDIAN-CITY-STATE-ZIP

Client Guardian City, State Zip

CL-GUARDIAN-CNTY

Client Guardian County

CL-GUARDIAN-DOB

Client Guardian Date Of Birth

CL-GUARDIAN-FIRST-NAME

Client Guardian First Name

CL-GUARDIAN-LAST-NAME

Client Guardian Last Name

CL-GUARDIAN-NAME

Client Guardian Full Name

CL-GUARDIAN-PHONE#

Client Guardian Phone Number

CL-GUARDIAN-PREFIX

Client Guardian Prefix

CL-GUARDIAN-SSN

Client Guardian Social Security Number

CL-GUARDIAN-STATE

Client Guardian State

CL-GUARDIAN-SUFFIX

Client Guardian Suffix

CL-GUARDIAN-SUFFIX2

Client Guardian Suffix2

CL-GUARDIAN-ZIP

Client Guardian Zip

CL-HE-SHE-IT

Client He, She, or It

CL-HIM-HER-IT

Client Him, Her, or It

CL-HIS-HER-ITS

Client His, Hers, or Its

CL-ID

Client ID

CL-INC2-AGE

Client Age at Incident2

CL-INC2-AGE-EXP

Client Age at Incident2 Expanded

CL-INC2-AGE-YM-EXP

Client Age at Incident2 Year Month Expanded

CL-INC3-AGE

Client Age at Incident3

CL-INC3-AGE-EXP

Client Age at Incident3 Expanded

CL-INC3-AGE-YM-EXP

Client Age at Incident3 Year Month Expanded

CL-INC4-AGE

Client Age at Incident4

CL-INC4-AGE-EXP

Client Age at Incident4 Expanded

CL-INC4-AGE-YM-EXP

Client Age at Incident4 Year Month Expanded

CL-INC-AGE

Client Age at Incident

CL-INC-AGE-EXP

Client Age at Incident Expanded

CL-INC-AGE-YM-EXP

Client Age at Incident Year Month Expanded

CL-INFANT-DOB

Client Infant Date of Birth

CL-INFANT-DOD

Client Infant Date of Death

CL-INFANT-NAME

Client Infant Full Name

CL-INIT

Client Initials

CL-IS-NO-SSN

Client Does Not Have Social Security Number Y/N

CL-LAST-NAME

Client Last Name

CL-LIST

Client List of All Full Name Vertical

CL-LIST-ADDR

Client List of All Full Name with Address Vertical

CL-LIST-ADDR-HORIZ

Client List Address Horizontal

CL-LIST-HORIZ

Client List Horizontal

CL-MALE-X

Merges as X if Client is Male, Underscore Otherwise

CL-MARITAL-STATUS

Client Marital Status

CL-MARRIED-X

Merges as X if Client is Married, Underscore Otherwise

CL-MIDDLE-NAME

Client Middle Name

CL-MRMRS

Mr. and Mrs. Client

CL-MRMRS-LAST

Mr. and Mrs. Client Last Name

CL-NAME

Client Name

CL-NAME-REVERSED

Client Name Reversed

CL-NICK-NAME

Client Nick Name

CL-OTHER-NAME

Client Other Name

CL-PHONE#

Client Phone Number

CL-PHONE#-CELL

Client Phone Cell

CL-PHONE#-WORK

Client Work Phone Number

CL-PLACE-OF-BIRTH

Client Place of Birth

CL-POA-ADDR1

Client Power of Attorney Address Line 1

CL-POA-ADDR2

Client Power of Attorney Address Line 2

CL-POA-ADDR3

Client Power of Attorney Address Line 3

CL-POA-ADDRESS-BLOCK

Client Power of Attorney Address Block

CL-POA-ADDRESS-BLOCK-NO-NAME

Client Power of Attorney Address Block Without Name

CL-POA-ADDRESS-HORIZ

Client Power of Attorney Address Horizontal

CL-POA-CITY

Client Power of Attorney City

CL-POA-CITY-STATE-ZIP

Client Power of Attorney City, State Zip

CL-POA-CNTY

Client Power of Attorney County

CL-POA-DOB

Client Power of Attorney Date Of Birth

CL-POA-FIRST-NAME

Client Power of Attorney First Name

CL-POA-LAST-NAME

Client Power of Attorney Last Name

CL-POA-NAME

Client Power of Attorney Full Name

CL-POA-PHONE#

Client Power of Attorney Phone Number

CL-POA-PREFIX

Client Power of Attorney Prefix

CL-POA-SSN

Client Power of Attorney Social Security Number

CL-POA-STATE

Client Power of Attorney State

CL-POA-SUFFIX

Client Power of Attorney Suffix

CL-POA-SUFFIX2

Client Power of Attorney Suffix2

CL-POA-ZIP

Client Power of Attorney Zip

CL-PREFIX

Client Prefix

CL-PR-LANG

Client Primary Language

CL-ROLE

Client Role

CL-SEPARATED-X

Merges as X if Client is Separated, Underscore Otherwise

CL-SIGN

Client Signature

CL-SINGLE-X

Merges as X if Client is Single, Underscore Otherwise

CL-SPOUSE-ADDR1

Client Spouse Address Line 1

CL-SPOUSE-ADDR2

Client Spouse Address Line 2

CL-SPOUSE-ADDR3

Client Spouse Address Line 3

CL-SPOUSE-ADDRESS-BLOCK

Client Spouse Address Block

CL-SPOUSE-ADDRESS-BLOCK-NO-NAME

Client Spouse Address Block Without Name

CL-SPOUSE-ADDRESS-HORIZ

Client Spouse Address Horizontal

CL-SPOUSE-CITY

Client Spouse City

CL-SPOUSE-CITY-STATE-ZIP

Client Spouse City, State Zip

CL-SPOUSE-CNTY

Client Spouse County

CL-SPOUSE-DOB

Client Spouse Date Of Birth

CL-SPOUSE-FIRST-NAME

Client Spouse First Name

CL-SPOUSE-HE-SHE

Client Spouse He Or She

CL-SPOUSE-HIM-HER

Client Spouse Him Or Her

CL-SPOUSE-HIS-HER

Client Spouse His Or Hers

CL-SPOUSE-INCAPS

Client Spouse Full Name Capitals

CL-SPOUSE-INIT

Client Spouse Initials

CL-SPOUSE-LAST-NAME

Client Spouse Last Name

CL-SPOUSE-NAME

Client Spouse Full Name

CL-SPOUSE-PHONE#

Client Spouse Phone Number

CL-SPOUSE-PREFIX

Client Spouse Prefix

CL-SPOUSE-SSN

Client Spouse Social Security Number

CL-SPOUSE-STATE

Client Spouse State

CL-SPOUSE-SUFFIX

Client Spouse Suffix

CL-SPOUSE-SUFFIX2

Client Spouse Suffix2

CL-SPOUSE-ZIP

Client Spouse Zip

CL-SSN#

Client Social Security Number

CL-SSN-LAST4

Client Social Security Number Last 4 Digits

CL-SSN-MASK5

Client Social Security Number Masking First 5 Digits

CL-STATE

Client State

CL-SUB-CTGRY

Client Sub Category

CL-SUFFIX

Client Suffix

CL-SUFFIX2

Client Suffix2

CL-WIDOWED-X

Merges as X if Client is Widowed, Underscore Otherwise

CL-ZIP

Client Zip

COURT-CLERK-ADDRESS-BLOCK-NO-NAME

Clerk Address Block Without Name

COURT-JUDGE-ADDRESS-BLOCK-NO-NAME

Judge Address Block Without Name

COURT-JUDGE-EMAIL

Judge Email

COURT-JUDGE-HE-SHE-IT

Judge He, She, or It

COURT-JUDGE-HIM-HER-IT

Judge Him, Her, or It

COURT-JUDGE-HIS-HER-ITS

Judge His, Hers, or Its

COURT-JUDGE-SUFFIX

Judge Suffix

COURT-JUDGE-SUFFIX2

Judge Suffix2

DEF-ADJ-MIDDLE-NAME

Defendant Adjuster Middle Name

DEF-ADJ-SUFFIX2

Defendant Adjuster Suffix2

DEF-ATTY-FIRM-ADDRESS-BLOCK2

Defendant Attorney’s Address Block with Law Firm Name and Address

DEF-ATTY-PR-ATTY-ADDRESS-BLOCK-NO-NAME

Defendant Primary Attorney Address Block Without Name

DEF-ATTY-PR-ATTY-PHONE-EXT

Defendant Primary Attorney Phone Extension

DEF-ATTY-PR-ATTY-SUFFIX2

Defendant Primary Attorney Suffix2

DEF-COUNTRY

Defendant Country

DEF-INS-INSURED-SUFFIX2

Defendant Insurance Insured Suffix2

DEF-INS-THIRD-PARTY-ADJ-SUFFIX2

Defendant Insurance Third Party Adjuster Suffix2

DEF-LIST-HORIZ-INCAPS

Defendant List of All Full Name Horizontal in Caps

DEF-NON-PARTY-CONT-SUFFIX2

Defendant Non-Party Contact Suffix2

DEF-SOL-COMPLIED-TABLE

Plaintiff Complied Statute of Limitations

DEPO-TABLE

Case Depositions Table

DISCOVERY-TABLE

Case Discoveries Table

EMP-COMMENTS

Employer Comments

EMP-COMP-COMMENTS

Employer Compensation Comments

EMP-STATUS

Employment Status

EXAM-DOCTOR-FAX

Adverse Exam Doctor Fax

EXAM-DOCTOR-FIRST-NAME

Adverse Exam Doctor First Name

EXAM-DOCTOR-LAST-NAME

Adverse Exam Doctor Last Name

EXAM-DOCTOR-SUFFIX2

Adverse Exam Doctor Suffix2

EXP-ADDRESS-BLOCK-NO-NAME

Expert Address Block Without Name

EXP-ADDRESS-HORIZ

Expert Address Horizontal

EXP-CITY-STATE-ZIP

Expert City, State Zip

EXP-EMAIL

Expert Email

EXP-HE-SHE-IT

Expert He, She, or It

EXP-HIM-HER-IT

Expert Him, Her, or It

EXP-HIS-HER-ITS

Expert His, Hers, or Its

EXP-SUFFIX2

Expert Suffix2

FIRM-ATTORNEY-WEBSITE

Firm Attorney Website

FIRM-PARALEGAL-WEBSITE

Firm Paralegal Website

FIRM-STAFF-SUFFIX2

Firm Staff Suffix2

FIRM-STAFF-WEBSITE

Firm Staff Website

FUND-AGREEMENT-DATE

Funding Agreement Date

FUND-BY

Funding Funded By

FUND-COMMENT

Funding Comment

FUND-PAY-BACK

Funding Need to Pay Back

FUND-TABLE

Case Funding Table

INC-COMMENTS

Incident Comments

LIEN-CONTACT-PERSON-SUFFIX2

Lien Contact Person Suffix2

LIEN-RECOVERY-AGENT-SUFFIX2

Lien Recovery Agent Suffix2

LIEN-RECOVERY-CONT-SUFFIX2

Lien Recovery Contact Suffix2

MED-PRVD-LIST-REFERRED

List of Referred Medical Providers

MED-PRVD-SUFFIX2

All Medical Provider Suffix2

MED-REQUEST-REC-TYPE

Medical Records Request Record Type

OFFICE-WEBSITE

Office Website

PL-ADJ-SUFFIX2

Plaintiff Adjucter Suffix2

PL-FAX

Plaintiff Fax

PL-HOS-ADDRESS-BLOCK-NO-NAME

Plaintiff Hospital Address Block Without Name

PL-INJ-AS-TO-LIST

Plaintiff Injuries As To List

PL-INS-INSURED-SUFFIX2

Plaintiff Insurance Insured Suffix2

PL-INS-THIRD-PARTY-ADJ-SUFFIX2

Plaintiff Insurance Third Party Adjuster Suffix2

PL-INS-UND-POLICY-LIMIT-PP

Plaintiff Insurance Under Insured Policy Limit Per Occurrence (Low)

PL-LIEN-DUE-TABLE-WITHOUT-REPAID

Plaintiff Lien with None Zero Balance Table That Not Paid

PL-LIEN-TABLE-WITHOUT-REPAID

Plaintiff Lien Table That Not Paid

PL-LIST-HORIZ-INCAPS

Plaintiff List Horizontal in Caps

PL-MED-PRVD-NPR-LIST

Plaintiff Non-Prior Medical Provider List

PL-MED-PRVD-NPR-LIST-HORIZ

Horisontal List of Plaintiff Non-Prior Medical Providers

PL-MED-PRVDS-REQUEST-ALL-TABLE

Plaintiff Medical Records Requests Table

PL-MED-PRVDS-REQUEST-TABLE

Plaintiff Complited Medical Records Requests Table

PL-MED-PRVDS-TOT-BILL-BALANCE

Plaintiff Medical Providers Total Bills Balance

PL-MED-PRVDS-TOT-NOT-PAID-BILL-AMNT

Plaintiff Medical Providers Total Bills Amount Not Payable by Firm

PL-MED-PRVDS-TOT-NOT-PAID-BILL-BALANCE

Plaintiff Medical Providers Total Bills Balance Not Payable by Firm

PL-MED-PRVDS-TOT-NOT-PAID-BILL-NEG-AMNT

Plaintiff Medical Providers Total Bills Negotiated Amount Not Payable by Firm

PL-MED-PRVDS-TOT-PAID-BILL-AMNT

Plaintiff Medical Providers Total Bills Amount Payable by Firm

PL-MED-PRVDS-TOT-PAID-BILL-BALANCE

Plaintiff Medical Providers Total Bills Balance Payable by Firm

PL-MED-PRVDS-TOT-PAID-BILL-NEG-AMNT

Plaintiff Medical Providers Total Bills Negotiated Amount Payable by Firm

PL-NF-INS-ADDRESS-BLOCK-NO-NAME

Plaintiff No Fault Insurance Address Block Without Name

PL-NF-INS-ADDRESS-HORIZ

Plaintiff No Fault Insurance Address Horizontal

PL-NF-INS-CITY

Plaintiff No Fault Insurance City

PL-NF-INS-EMAIL

Plaintiff No Fault Insurance Email

PL-NF-INS-STATE

Plaintiff No Fault Insurance State

PL-NF-INS-ZIP

Plaintiff No Fault Insurance Zip

PL-NON-PARTY-CONT-SUFFIX2

Plaintiff Non-Party Contact Suffix2

PL-PHONE#-ALL

List of Plaintiff Phone Numbers

PL-PRESC-ALLEG-DATE

Prescription Allegation Date

PL-PRESC-ALLEG-TYPE

Prescription Allegation Type

PL-PRESC-COMMENTS

Prescription Comments

PL-PRESC-DAYSUPPLY

Prescription Day Supply

PL-PRESC-DOSAGE

Prescription Dosage

PL-PRESC-END-DATE

Prescription End Date

PL-PRESC-FACILIITY

Prescription Medical Facility

PL-PRESC-MANUFACTURER

Prescription Manufacturer

PL-PRESC-NDC

Prescription National Drug Code

PL-PRESC-PAGENUM

Prescription Page Number

PL-PRESC-PRESCRIBER

Prescription Prescribing Physician

PL-PRESC-PRODUCT

Prescription Product

PL-PRESC-QUANTITY

Prescription Quantity

PL-PRESC-RETAILER

Prescription Pharmacy/Retailer

PL-PRESC-START-DATE

Prescription Start Date

PL-PRESC-SUMMARY

Prescription Summary

PL-PRESC-TABLE

Plaintiff Prescriptions Table

PL-PRESC-TYPE

Prescription Type

PL-PR-INJ-CASE-NUMBER

Plaintiff Prior Injury Case Number

PL-PR-INJ-CASE-RELATED(Y/N)

Is Prior Injury Case Related?

PL-PR-INJ-COMMENTS

Plaintiff Prior Injury Comments

PL-PR-INJ-DATE

Plaintiff Prior Injury Date

PL-PR-INJ-DESCRIPTION

Plaintiff Prior Injury Description

PL-PR-INJ-DIAGNOSIS-DATE

Plaintiff Prior Injury Date of Diagnosis

PL-PR-INJ-FIRM-CASE(Y/N)

Firm Case Y/N

PL-PR-INJ-LIST

List of Plaintiff Prior Injuries

PL-PR-INJURY

Plaintiff Prior Injury

PL-SOL-COMPLIED-TABLE

Plaintiff Complied Statute of Limitations

PL-SOL-DATE-EXP

Plaintiff Statute of Limitations Date Expanded

PL-SP-DMG-TOTAL

Plaintiff Special Damages Total Amount

PL-SP-DMG-TOT-AMT

Plaintiff Special Damages Total Amount

PL-SPOUSE-SUFFIX2

Plaintiff Spouse Suffix2

PL-SSN-FIRST3

Plaintiff Social Security Number First 3 Digits

PL-SSN-MIDDLE2

Plaintiff Social Security Number Middle 2 Digits

POL-ADDRESS-BLOCK-NO-NAME

Police Department Address Block Without Name

POL-OFF-SUFFIX2

Police Officer Suffix2

PR-ATTY-ADDRESS-BLOCK-NO-NAME

Prior Attorney Address Block Without Name

PR-ATTY-CITY-STATE-ZIP

Prior Attorney City, State Zip

PR-ATTY-CNTY

Prior Attorney County

PR-ATTY-FIRM-ADDRESS-BLOCK-NO-NAME

Prior Attorney Law Firm Address Block Without Name

PR-ATTY-FIRM-CITY-STATE-ZIP

Prior Attorney Law Firm City, State Zip

PR-ATTY-FIRM-EMAIL

Prior Attorney Law Firm Email

PR-ATTY-FIRM-FAX

Prior Attorney Law Firm Fax

PR-ATTY-FIRM-PHONE#

Prior Attorney Law Firm Phone Number

PR-ATTY-FIRST-NAME

Prior Attorney First Name

PR-ATTY-HE-SHE-IT

Prior Attorney He, She, or It

PR-ATTY-HIM-HER-IT

Prior Attorney Him, Her, or It

PR-ATTY-HIS-HER-ITS

Prior Attorney His, Hers, or Its

PR-ATTY-LAST-NAME

Prior Attorney Last Name

PR-ATTY-PHONE#

Prior Attorney Phone Number

PR-ATTY-PREFIX

Prior Attorney Prefix

PR-ATTY-SUFFIX

Prior Attorney Suffix

PR-ATTY-SUFFIX2

Prior Attorney Suffix2

REF-ATTY-LF-NAME

Referring Attorney or Law Firm Name

REF-ATTY-SUFFIX2

Referring Attorney Suffix2

REF-OUT-ATTY-SUFFIX2

Referred Out Attorney Suffix2

SET-AMOUNT-MINUS-FIRMFEE-OTHER

Settlement Amount Minus Firm Fee and Other Amount

SET-AMOUNT-MINUS-FIRMFEE-OTHER-EXP

Settlement Amount Minus Firm Fee, Other Amount and Disbursements

SET-AMOUNT-MINUS-FIRMFEE-OTHER-EXP-INTEREST

Settlement Amount Minus Firm Fee, Other Amount and Disbursements with Interest

SET-AMOUNT-MINUS-FIRMFEE-OTHER-EXP-INTEREST-LIEN

Settlement Amount Minus Firm Fee, Other Amount, Disbursements with Interest and Liens

SET-AMOUNT-MINUS-FIRMFEE-OTHER-EXP-LIEN

Settlement Amount Minus Firm Fee, Other Amount, Disbursements and Liens

SET-AMOUNT-MINUS-FIRMFEE-REFATTYFEE-OTHER

Settlement Amount Minus Firm Fee, Referring Attorney Fee and Other Amount

SET-AMOUNT-MINUS-FIRMFEE-REFATTYFEE-OTHER-EXP

Settlement Amount Minus Firm Fee, Referring Attorney Fee, Other Amount and Disbursements

SET-AMOUNT-MINUS-FIRMFEE-REFATTYFEE-OTHER-EXP-INTEREST

Settlement Amount Minus Firm Fee, Referring Attorney Fee, Other Amount and Disbursements with Interest

SET-AMOUNT-MINUS-FIRMFEE-REFATTYFEE-OTHER-EXP-INTEREST-LIEN

Settlement Amount Minus Firm Fee, Referring Attorney Fee, Other Amount, Disbursements with Interest and Liens

SET-AMOUNT-MINUS-FIRMFEE-REFATTYFEE-OTHER-EXP-LIEN

Settlement Amount Minus Firm Fee, Referring Attorney Fee, Other Amount, Disbursements and Liens

SET-AMOUNT-MINUS-FIRMFEE-REFPRATTYFEE-OTHER-EXP-INTEREST

Settlement Amount Minus Firm Fee, Referring and Prior Attorney Fee, Other Amount and Disbursements with Interest

SET-AMOUNT-MINUS-FIRMFEE-REFPRATTYFEE-OTHER-EXP-INTEREST-LIEN

Settlement Amount Minus Firm Fee, Referring and Prior Attorney Fee, Other Amount, Disbursements with Interest and Liens

SET-ATTY-FEES-TABLE

Settlement Attorney and Other Fees Table

SET-CHECK-DATE

Settlement Check Date

SET-DIST-CHECK-TOT-AMOUNT

Settlement Distribution Checks Total Amount

SET-EXP-PLUS-INTEREST

Settlement Disbursement with Interest

SET-FIRMFEE-PLUS-OTHER

Settlement Firm Fee and Other Amount

SET-FIRMFEE-PLUS-REFATTYFEE-OTHER

Settlement Firm Fee, Referring Attorney Fee and Other Amount

SET-MED-PAY

Settlement Med Pay

SET-MED-PAY-CASE-TOTAL

Settlement Med Pay Case Total

SOL-ANSWERED-TABLE

Statute of Limitations Answer Received

SOL-COMPLIED-TABLE

Complied Statute of Limitations

SOL-DATE-EXP

Statute of Limitations Date Expanded

SOL-SERVICE-TABLE

Complaint Served Statute of Limitations

SSD-AMENDED-AOD

Social Security Disability Amended AOD

SSD-AOD

Social Security Disability AOD

SSD-APPEALS-COUNCIL-ACKNOWLEDGMENT-DATE

Social Security Disability Appeals Council Acknowledgment Date

SSD-APPEALS-COUNCIL-COMMENTS

Social Security Disability Appeals Council Comments

SSD-APPEALS-COUNCIL-DECISION

Social Security Disability Appeals Council Decision

SSD-APPEALS-COUNCIL-DECISION-DATE

Social Security Disability Appeals Council Decision Date

SSD-APPEALS-COUNCIL-FILED-DATE

Social Security Disability Appeals Council Filed Date

SSD-APPEALS-COUNCIL-FILING-MODE

Social Security Disability Appeals Council Filing Mode

SSD-APPEALS-COUNCIL-SUBMISSION-DUE-DATE

Social Security Disability Appeals Council Submission Due Date

SSD-COMMENTS

Social Security Disability Comments

SSD-DATE-LAST-INJURED

Social Security Disability Date Last Insured

SSD-DATE-LAST-WORKED

Social Security Disability Date Last Worked

SSD-HEARING-ACKNOWLEDGMENT-DATE

Social Security Disability Hearing Acknowledgment Date

SSD-HEARING-COMMENTS

Social Security Disability Hearing Comments

SSD-HEARING-DATE

Social Security Disability Hearing Date

SSD-HEARING-DATE-EXP

Social Security Disability Hearing Date Expanded

SSD-HEARING-DECISION

Social Security Disability Hearing Decision

SSD-HEARING-DECISION-DATE

Social Security Disability Hearing Decision Date

SSD-HEARING-FILING-MODE

Social Security Disability Hearing Filing Mode

SSD-HEARING-POST-DUE-DATE

Social Security Disability Post Hearing Due Date

SSD-HEARING-REQUEST-DATE

Social Security Disability Hearing Request Date

SSD-HEARING-SUPPLEMENTAL-DATE

Social Security Disability Hearing Supplemental date

SSD-INITIAL-APPL-ADL-RECEIVED-DATE

Social Security Disability Initial Application ADL Received Date

SSD-INITIAL-APPL-ADL-SUBMITTED-DATE

Social Security Disability Initial Application ADL Submitted Date

SSD-INITIAL-APPL-AUXILIARY-SUBMITTED-DATE

Social Security Disability Initial Application Auxiliary Form Submitted Date

SSD-INITIAL-APPL-COMMENTS

Social Security Disability Initial Application Comments

SSD-INITIAL-APPL-DECISION

Social Security Disability Initial Application Decision

SSD-INITIAL-APPL-DECISION-DATE

Social Security Disability Initial Application Decision Date

SSD-INITIAL-APPL-FILED-DATE

Social Security Disability Initial Application Filed Date

SSD-INITIAL-APPL-FILING-MODE

Social Security Disability Initial Application Filing Mode

SSD-PREVIOUS-DENIAL-DATE

Social Security Disability Previous Denial Date

SSD-RECONSID-COMMENTS

Social Security Disability Reconsideration Comments

SSD-RECONSID-DECISION

Social Security Disability Reconsideration Decision

SSD-RECONSID-DECISION-DATE

Social Security Disability Reconsideration Decision Date

SSD-RECONSID-FILED-DATE

Social Security Disability Reconsideration Filed Date

SSD-RECONSID-FILING-MODE

Social Security Disability Reconsideration Filing Mode

SSD-RECONSID-REQUEST-FOR-GOOD-CAUSE-DATE

Social Security Disability Reconsideration Request for Good Cause Date

SUB-OUT-ATTY-ADDRESS-BLOCK

Sub Out Attorney Address Block

SUB-OUT-ATTY-ADDRESS-BLOCK-NO-NAME

Sub Out Attorney Address Block Without Name

SUB-OUT-ATTY-ADDRESS-HORIZ

Sub Out Attorney Address Horizontal

SUB-OUT-ATTY-CITY-STATE-ZIP

Sub Out Attorney City, State Zip

SUB-OUT-ATTY-EMAIL

Sub Out Attorney Email

SUB-OUT-ATTY-FAX

Sub Out Attorney Fax

SUB-OUT-ATTY-FIRST-NAME

Sub Out Attorney First Name

SUB-OUT-ATTY-HE-SHE-IT

Sub Out Attorney He, She, or It

SUB-OUT-ATTY-HIM-HER-IT

Sub Out Attorney Him, Her, or It

SUB-OUT-ATTY-HIS-HER-ITS

Sub Out Attorney His, Hers, or Its

SUB-OUT-ATTY-LAST-NAME

Sub Out Attorney Last Name

SUB-OUT-ATTY-PHONE#

Sub Out Attorney Phone Number

SUB-OUT-ATTY-PREFIX

Sub Out Attorney Prefix

SUB-OUT-ATTY-SUFFIX

Sub Out Attorney Suffix

SUB-OUT-ATTY-SUFFIX2

Sub Out Attorney Suffix2

SUB-OUT-LAW-ADDRESS-HORIZ

Sub Out Law Firm Address Horizontal

SUB-OUT-LAW-EMAIL

Sub Out Law Firm Email

SUB-OUT-LAW-FAX

Sub Out Law Firm Fax

SUB-OUT-LAW-PHONE#

Sub Out Law Firm Phone Number

TPA-DEF-ADDR1

Third Party Action Defendant Address Line 1

TPA-DEF-ADDR2

Third Third Party Action Defendant Address Line 2

TPA-DEF-ADDR3

Third Party Action Defendant Address Line 3

TPA-DEF-ADDRESS-BLOCK

Third Party Action Defendant Address Block

TPA-DEF-ADDRESS-BLOCK-NO-NAME

Third Party Action Defendant Address Block Without Name

TPA-DEF-ADDRESS-HORIZ

Third Party Action Defendant Address Horizontal

TPA-DEF-ADJ-ADDR1

Third Party Action Defendant Adjuster Address Line 1

TPA-DEF-ADJ-ADDR2

Third Third Party Action Defendant Adjuster Address Line 2

TPA-DEF-ADJ-ADDR3

Third Party Action Defendant Adjuster Address Line 3

TPA-DEF-ADJ-ADDRESS-BLOCK

Third Party Action Defendant Adjuster Address Block

TPA-DEF-ADJ-ADDRESS-BLOCK-NO-NAME

Third Party Action Defendant Adjuster Address Block Without Name

TPA-DEF-ADJ-ADDRESS-HORIZ

Third Party Action Defendant Adjuster Address Horizontal

TPA-DEF-ADJ-CITY

Third Party Action Defendant Adjuster City

TPA-DEF-ADJ-CITY-STATE-ZIP

Third Party Action Defendant Adjuster City, State Zip

TPA-DEF-ADJ-CNTY

Third Party Action Defendant Adjuster County

TPA-DEF-ADJ-EMAIL

Third Party Action Defendant Adjuster Email

TPA-DEF-ADJ-FAX

Third Party Action Defendant Adjuster Fax

TPA-DEF-ADJ-FIRST-NAME

Third Party Action Defendant Adjuster First Name

TPA-DEF-ADJ-HE-SHE-IT

Third Party Action Defendant Adjuster He, She, or It

TPA-DEF-ADJ-HIM-HER-IT

Third Party Action Defendant Adjuster Him, Her, or It

TPA-DEF-ADJ-HIS-HER-ITS

Third Party Action Defendant Adjuster His, Hers, or Its

TPA-DEF-ADJ-INIT

Third Party Action Defendant Adjuster Initials

TPA-DEF-ADJ-LAST-NAME

Third Party Action Defendant Adjuster Last Name

TPA-DEF-ADJ-NAME

Third Party Action Defendant Adjuster Name

TPA-DEF-ADJ-PHONE#

Third Party Action Defendant Adjuster Phone Number

TPA-DEF-ADJ-PREFIX

Third Party Action Defendant Adjuster Prefix

TPA-DEF-ADJ-STATE

Third Party Action Defendant Adjuster State

TPA-DEF-ADJ-SUFFIX

Third Party Action Defendant Adjuster Suffix

TPA-DEF-ADJ-SUFFIX2

Third Party Action Defendant Adjuster Suffix2

TPA-DEF-ADJ-ZIP

Third Party Action Defendant Adjuster Zip

TPA-DEF-ATTY-ADDR1

Third Party Action Defendant Attorney Address Line 1

TPA-DEF-ATTY-ADDR2

Third Third Party Action Defendant Attorney Address Line 2

TPA-DEF-ATTY-ADDR3

Third Party Action Defendant Attorney Address Line 3

TPA-DEF-ATTY-ADDRESS-BLOCK

Third Party Action Defendant Attorney Address Block

TPA-DEF-ATTY-ADDRESS-BLOCK-NO-NAME

Third Party Action Defendant Attorney Address Block Without Name

TPA-DEF-ATTY-ADDRESS-HORIZ

Third Party Action Defendant Attorney Address Horizontal

TPA-DEF-ATTY-CITY

Third Party Action Defendant Attorney City

TPA-DEF-ATTY-CITY-STATE-ZIP

Third Party Action Defendant Attorney City, State Zip

TPA-DEF-ATTY-CNTY

Third Party Action Defendant Attorney County

TPA-DEF-ATTY-EMAIL

Third Party Action Defendant Attorney Email

TPA-DEF-ATTY-FAX

Third Party Action Defendant Attorney Fax

TPA-DEF-ATTY-FIRST-NAME

Third Party Action Defendant Attorney First Name

TPA-DEF-ATTY-HE-SHE-IT

Third Party Action Defendant Attorney He, She, or It

TPA-DEF-ATTY-HIM-HER-IT

Third Party Action Defendant Attorney Him, Her, or It

TPA-DEF-ATTY-HIS-HER-ITS

Third Party Action Defendant Attorney His, Hers, or Its

TPA-DEF-ATTY-INIT

Third Party Action Defendant Attorney Initials

TPA-DEF-ATTY-LAST-NAME

Third Party Action Defendant Attorney Last Name

TPA-DEF-ATTY-NAME

Third Party Action Defendant Attorney Name

TPA-DEF-ATTY-PHONE#

Third Party Action Defendant Attorney Phone Number

TPA-DEF-ATTY-PREFIX

Third Party Action Defendant Attorney Prefix

TPA-DEF-ATTY-STATE

Third Party Action Defendant Attorney State

TPA-DEF-ATTY-SUFFIX

Third Party Action Defendant Attorney Suffix

TPA-DEF-ATTY-SUFFIX2

Third Party Action Defendant Attorney Suffix2

TPA-DEF-ATTY-ZIP

Third Party Action Defendant Attorney Zip

TPA-DEF-CITY

Third Party Action Defendant City

TPA-DEF-CITY-STATE-ZIP

Third Party Action Defendant City, State Zip

TPA-DEF-CNTY

Third Party Action Defendant County

TPA-DEF-EMAIL

Third Party Action Defendant Email

TPA-DEF-FAX

Third Party Action Defendant Fax

TPA-DEF-FIRST-NAME

Third Party Action Defendant First Name

TPA-DEF-HE-SHE-IT

Third Party Action Defendant He, She, or It

TPA-DEF-HIM-HER-IT

Third Party Action Defendant Him, Her, or It

TPA-DEF-HIS-HER-ITS

Third Party Action Defendant His, Hers, or Its

TPA-DEF-INIT

Third Party Action Defendant Initials

TPA-DEF-INS-ADDR1

Third Party Action Defendant Insurance Company Address Line 1

TPA-DEF-INS-ADDR2

Third Party Action Defendant Insurance Company Address Line 2

TPA-DEF-INS-ADDR3

Third Party Action Defendant Insurance Company Address Line 3

TPA-DEF-INS-ADDRESS-BLOCK

Third Party Action Defendant Insurance Company Address Block

TPA-DEF-INS-ADDRESS-BLOCK-NO-NAME

Third Party Action Defendant Insurance Company Address Block Without Name

TPA-DEF-INS-ADDRESS-HORIZ

Third Party Action Defendant Insurance Company Address Horizontal

TPA-DEF-INS-CITY

Third Party Action Defendant Insurance Company City

TPA-DEF-INS-CITY-STATE-ZIP

Third Party Action Defendant Insurance Company City, State Zip

TPA-DEF-INS-CNTY

Third Party Action Defendant Insurance Company County

TPA-DEF-INS-EMAIL

Third Party Action Defendant Insurance Company Email

TPA-DEF-INS-FAX

Third Party Action Defendant Insurance Company Fax

TPA-DEF-INS-NAME

Third Party Action Defendant Insurance Company Name

TPA-DEF-INS-PHONE#

Third Party Action Defendant Insurance Company Phone Number

TPA-DEF-INS-STATE

Third Party Action Defendant Insurance Company State

TPA-DEF-INS-ZIP

Third Party Action Defendant Insurance Company Zip

TPA-DEF-LAST-NAME

Third Party Action Defendant Last Name

TPA-DEF-LAW-FIRM-ADDR1

Third Party Action Defendant Law Firm Address Line 1

TPA-DEF-LAW-FIRM-ADDR2

Third Third Party Action Defendant Law Firm Address Line 2

TPA-DEF-LAW-FIRM-ADDR3

Third Party Action Defendant Law Firm Address Line 3

TPA-DEF-LAW-FIRM-ADDRESS-BLOCK

Third Party Action Defendant Law Firm Address Block

TPA-DEF-LAW-FIRM-ADDRESS-BLOCK-NO-NAME

Third Party Action Defendant Law Firm Address Block Without Name

TPA-DEF-LAW-FIRM-ADDRESS-HORIZ

Third Party Action Defendant Law Firm Address Horizontal

TPA-DEF-LAW-FIRM-CITY

Third Party Action Defendant Law Firm City

TPA-DEF-LAW-FIRM-CITY-STATE-ZIP

Third Party Action Defendant Law Firm City, State Zip

TPA-DEF-LAW-FIRM-CLAIM#

Third Party Action Defendant Law Firm Claim Number

TPA-DEF-LAW-FIRM-CNTY

Third Party Action Defendant Law Firm County

TPA-DEF-LAW-FIRM-EMAIL

Third Party Action Defendant Law Firm Email

TPA-DEF-LAW-FIRM-FAX

Third Party Action Defendant Law Firm Fax

TPA-DEF-LAW-FIRM-FILE#

Third Party Action Defendant Law Firm File Number

TPA-DEF-LAW-FIRM-INDEX#

Third Party Action Defendant Law Firm Index Number

TPA-DEF-LAW-FIRM-NAME

Third Party Action Defendant Law Firm Name

TPA-DEF-LAW-FIRM-PHONE#

Third Party Action Defendant Law Firm Phone Number

TPA-DEF-LAW-FIRM-STATE

Third Party Action Defendant Law Firm State

TPA-DEF-LAW-FIRM-ZIP

Third Party Action Defendant Law Firm Zip

TPA-DEF-NAME

Third Party Action Defendant Name

TPA-DEF-PHONE#

Third Party Action Defendant Phone Number

TPA-DEF-PREFIX

Third Party Action Defendant Prefix

TPA-DEF-STATE

Third Party Action Defendant State

TPA-DEF-SUFFIX

Third Party Action Defendant Suffix

TPA-DEF-SUFFIX2

Third Party Action Defendant Suffix2

TPA-DEF-ZIP

Third Party Action Defendant Zip

TPA-PL-ADDR1

Third Party Action Plaintiff Address Line 1

TPA-PL-ADDR2

Third Third Party Action Plaintiff Address Line 2

TPA-PL-ADDR3

Third Party Action Plaintiff Address Line 3

TPA-PL-ADDRESS-BLOCK

Third Party Action Plaintiff Address Block

TPA-PL-ADDRESS-BLOCK-NO-NAME

Third Party Action Plaintiff Address Block Without Name

TPA-PL-ADDRESS-HORIZ

Third Party Action Plaintiff Address Horizontal

TPA-PL-ATTY-ADDR1

Third Party Action Plaintiff Attorney Address Line 1

TPA-PL-ATTY-ADDR2

Third Third Party Action Plaintiff Attorney Address Line 2

TPA-PL-ATTY-ADDR3

Third Party Action Plaintiff Attorney Address Line 3

TPA-PL-ATTY-ADDRESS-BLOCK

Third Party Action Plaintiff Attorney Address Block

TPA-PL-ATTY-ADDRESS-BLOCK-NO-NAME

Third Party Action Plaintiff Attorney Address Block Without Name

TPA-PL-ATTY-ADDRESS-HORIZ

Third Party Action Plaintiff Attorney Address Horizontal

TPA-PL-ATTY-CITY

Third Party Action Plaintiff Attorney City

TPA-PL-ATTY-CITY-STATE-ZIP

Third Party Action Plaintiff Attorney City, State Zip

TPA-PL-ATTY-CNTY

Third Party Action Plaintiff Attorney County

TPA-PL-ATTY-EMAIL

Third Party Action Plaintiff Attorney Email

TPA-PL-ATTY-FAX

Third Party Action Plaintiff Attorney Fax

TPA-PL-ATTY-FIRST-NAME

Third Party Action Plaintiff Attorney First Name

TPA-PL-ATTY-HE-SHE-IT

Third Party Action Plaintiff Attorney He, She, or It

TPA-PL-ATTY-HIM-HER-IT

Third Party Action Plaintiff Attorney Him, Her, or It

TPA-PL-ATTY-HIS-HER-ITS

Third Party Action Plaintiff Attorney His, Hers, or Its

TPA-PL-ATTY-INIT

Third Party Action Plaintiff Attorney Initials

TPA-PL-ATTY-LAST-NAME

Third Party Action Plaintiff Attorney Last Name

TPA-PL-ATTY-NAME

Third Party Action Plaintiff Attorney Name

TPA-PL-ATTY-PHONE#

Third Party Action Plaintiff Attorney Phone Number

TPA-PL-ATTY-PREFIX

Third Party Action Plaintiff Attorney Prefix

TPA-PL-ATTY-STATE

Third Party Action Plaintiff Attorney State

TPA-PL-ATTY-SUFFIX

Third Party Action Plaintiff Attorney Suffix

TPA-PL-ATTY-SUFFIX2

Third Party Action Plaintiff Attorney Suffix2

TPA-PL-ATTY-ZIP

Third Party Action Plaintiff Attorney Zip

TPA-PL-CITY

Third Party Action Plaintiff City

TPA-PL-CITY-STATE-ZIP

Third Party Action Plaintiff City, State Zip

TPA-PL-CNTY

Third Party Action Plaintiff County

TPA-PL-EMAIL

Third Party Action Plaintiff Email

TPA-PL-FAX

Third Party Action Plaintiff Fax

TPA-PL-FIRST-NAME

Third Party Action Plaintiff First Name

TPA-PL-HE-SHE-IT

Third Party Action Plaintiff He, She, or It

TPA-PL-HIM-HER-IT

Third Party Action Plaintiff Him, Her, or It

TPA-PL-HIS-HER-ITS

Third Party Action Plaintiff His, Hers, or Its

TPA-PL-INIT

Third Party Action Plaintiff Initials

TPA-PL-LAST-NAME

Third Party Action Plaintiff Last Name

TPA-PL-LAW-FIRM-ADDR1

Third Party Action Plaintiff Law Firm Address Line 1

TPA-PL-LAW-FIRM-ADDR2

Third Third Party Action Plaintiff Law Firm Address Line 2

TPA-PL-LAW-FIRM-ADDR3

Third Party Action Plaintiff Law Firm Address Line 3

TPA-PL-LAW-FIRM-ADDRESS-BLOCK

Third Party Action Plaintiff Law Firm Address Block

TPA-PL-LAW-FIRM-ADDRESS-BLOCK-NO-NAME

Third Party Action Plaintiff Law Firm Address Block Without Name

TPA-PL-LAW-FIRM-ADDRESS-HORIZ

Third Party Action Plaintiff Law Firm Address Horizontal

TPA-PL-LAW-FIRM-CITY

Third Party Action Plaintiff Law Firm City

TPA-PL-LAW-FIRM-CITY-STATE-ZIP

Third Party Action Plaintiff Law Firm City, State Zip

TPA-PL-LAW-FIRM-CNTY

Third Party Action Plaintiff Law Firm County

TPA-PL-LAW-FIRM-EMAIL

Third Party Action Plaintiff Law Firm Email

TPA-PL-LAW-FIRM-FAX

Third Party Action Plaintiff Law Firm Fax

TPA-PL-LAW-FIRM-NAME

Third Party Action Plaintiff Law Firm Name

TPA-PL-LAW-FIRM-PHONE#

Third Party Action Plaintiff Law Firm Phone Number

TPA-PL-LAW-FIRM-STATE

Third Party Action Plaintiff Law Firm State

TPA-PL-LAW-FIRM-ZIP

Third Party Action Plaintiff Law Firm Zip

TPA-PL-NAME

Third Party Action Plaintiff Name

TPA-PL-PHONE#

Third Party Action Plaintiff Phone Number

TPA-PL-PREFIX

Third Party Action Plaintiff Prefix

TPA-PL-STATE

Third Party Action Plaintiff State

TPA-PL-SUFFIX

Third Party Action Plaintiff Suffix

TPA-PL-SUFFIX2

Third Party Action Plaintiff Suffix2

TPA-PL-ZIP

Third Party Action Plaintiff Zip

USER-ADDR1

Current User Address Line 1

USER-ADDR2

Current User Address Line 2

USER-ADDR3

Current User Address Line 3

USER-ADDRESS-BLOCK

Current User Address Block

USER-ADDRESS-BLOCK-NO-NAME

Current User Address Block Without Name

USER-ADDRESS-HORIZ

Current User Address Horizontal

USER-CITY

Current User City

USER-CITY-STATE-ZIP

Current User City, State Zip

USER-COMMENTS

Current User Comments

USER-SIGN

Current User Signature

USER-STATE

Current User State

USER-SUFFIX2

Current User Suffix2

USER-WEBSITE

Current User Website

USER-ZIP

Current User Zip

VA-CLAIM

Veteran Affairs Claim

VA-CLAIM-EFFECTIVE-DATE

Veteran Affairs Claim Effective Date

VA-CLAIM-EVENT

Veteran Affairs Claim Event

VA-CLAIM-EVENT-APPEALED-ISSUE

Veteran Affairs Claim Event Appealed Issue

VA-CLAIM-EVENT-DATE

Veteran Affairs Claim Event Date

VA-CLAIM-GOAL-EFFECTIVE-DATE

Veteran Affairs Claim Goal Effective Date

VA-CLAIM-NOTES

Veteran Affairs Claim Notes

VA-CLAIM-RATING

Veteran Affairs Claim Rating

VA-CLAIM-STATUS

Veteran Affairs Claim Status

  • No labels

0 Comments

You are not logged in. Any changes you make will be marked as anonymous. You may want to Log In if you already have an account.