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

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 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