File ASISTS_COMPENSATION_CLAIM__CA7_(2264) Data List

CA7 CASE NUMBER	DATE CA7 CREATED	PERSON THAT CREATED CA7	ASISTS RECORD	EMPLOYEE SSN	EMPLOYEE NAME	OWCP FILE NUMBER	TYPE COMPENSATION	CLAIM START DATE	CLAIM END DATE	CLAIM INTERMITTENT	OTHER WAGE TYPE	EXTERNALLY WORKED	BUSINESS NAME	BUSINESS STREET ADD	BUSINESS CITY ADD	BUSINESS STATE ADD	MAILING STREET ADD	BUSINESS ZIPCODE ADD	DATE BEGAN OUTSIDE WORK	DATE END OUTSIDE WORK	OUTSIDE WORK DESCRIPTION	1ST CLAIM FILED FOR INCIDENT	CHANGES SINCE LAST CLAIM	DEPENDENT INFORMATION	DEP SUPPORT PAYMENT	DEP SUPPORT COURT ORDERED	SUPPORT PAY RECIPIENT	MAILING CITY ADD	SUPPORT PAY STREET ADD	SUPPORT PAY CITY ADD	SUPPORT PAY STATE ADD	SUPPORT PAY ZIPCODE ADD	THIRD PARTY CLAIM	PRIOR VA DISABILITY BENEFIT	PRIOR DISABILITY CLAIM NUMBER	PRIOR DISABILITY VA OFFICE	PRIOR DISABILITY STREET ADD	PRIOR DISABILITY CITY ADD	MAILING STATE ADD	PRIOR DISABILITY STATE ADD	PRIOR DISABILITY ZIPCODE ADD	PRIOR DISABILITY DESCRIPTION	PRIOR DISABILITY MONTHLY AMT	PREV BEN FED RET/DISA LAW	PREV BEN FED CLAIM NUMBER	PREV BEN FED ANNUITY START DTE	PREV BEN FED PAY AMOUNT	PREV BEN FED RETIREMENT SYS	EMP NAME FOR CA7	EMP CA7 SIGNATURE BLOCK	EMP CA7 DATE OF SIGNATURE	MAILING ZIPCODE ADD	DATE OF INJURY (PAGE 2)	BASE PAY TIME OF INCIDENT	PAY RATE TIME OF INCIDENT	GRADE AT TIME OF INCIDENT	STEP AT TIME OF INCIDENT	ADD PAY TYPE	DATE EMPLOYEE STOPPED WORK	BASE PAY WHEN STOPPED WORK	PAY RATE WHEN STOPPED WORK	GRADE WHEN STOPPED WORK	EMPLOYEE EMAIL	STEP WHEN STOPPED WORK	ADD PAY WHEN WORK STOPPED	REGULAR WKLY 40 HR SCHEDULE	REGULAR WORK SCHEDULE	LENGTH TIME IN POSITION	POSITION AVAILABLE	IRREGULAR WORK SCHEDULE	HLTH BENEFITS WHEN PAY STOPPED	HLTH BENEFITS CODE	BASIC LIFE INSURANCE	DATE OF INJURY	OPTIONAL LIFE INSURANCE	OPT LIFE INSURANCE CLASS	RETIREMENT SYSTEM	RETIREMENT SYSTEM PLAN	COP RECEIVED START DATE	COP RECEIVED END DATE	COP INTERMITTENT	PAY STATUS DURING CLAIM	EMPLOYEE RETURNED TO WORK	DATE EMPLOYEE RETURNED TO WORK	EMPLOYEE PHONE NUMBER	RETURNED TO PRE-INJURY JOB	REASON NOT RETURN TO JOB	REMARKS	WC NAME FOR CA7	WC CA7 ELECTRONIC SIGNATURE	WC CA7 DATE OF SIGNATURE	WC CA7 TITLE	AGENCY NAME	OWCP CONTACT NAME	OWCP CONTACT TITLE	EMPLOYEE FAX NUMBER	OWCP CONTACT PHONE	OWCP CONTACT FAX	OWCP CONTACT EMAIL	WEEK WORK STOPPED	DAY OF WEEK WORK STOPPED	EMP VALIDATION CODE	VALIDATION VERSION	WC VALIDATION CODE	DATE CA7 RCVD FROM EMP