File 2507_REQUEST(396.3) Data List
| NAME |
REQUEST DATE |
OTHER DISABILITIES [Line 1] |
OTHER DISABILITIES [Line 2] |
OTHER DISABILITIES [Line 3] |
TRANSCRIPTION DATE |
DATE APPROVED |
DATE RELEASED |
RELEASED BY |
DATE PRINTED BY THE RO |
PRINTED BY |
REQUEST STATUS |
ELAPSED TIME |
CANCELLATION DATE |
REGIONAL OFFICE NUMBER |
CANCELLED BY |
CLAIM FOLDER REQUIRED? |
ELECTRONIC CLAIM FOLDER AVAIL |
OTHER DOCUMENTS REQUIRED? |
REMARKS |
LAST EXAM ADD DATE |
LAST PERSON TO ADD EXAM |
REMARKS MODIFICATION DATE |
REMARKS MODIFIED BY |
ROUTING LOCATION |
APPROVED BY |
APPROVAL DATE/TIME |
*EXAM |
RETURNED TO OWNER SITE BY |
OWNER DOMAIN |
LAST RATING EXAM DATE |
REQUESTER |
ORIGINAL REQUEST POINTER |
TRANSFERRED TO ANOTHER SITE? |
DATE TRANSFERRED TO OTHER SITE |
DATE TRANSFRD IN FRM REM SITE |
DATE ALL TRANSFERS RETURNED |
REROUTE DATE/TIME |
DATE REPORTED TO MAS |
ORIGINAL 2507 REQUEST |
ORIGINAL 2507 PROCESSING TIME |
REQUEST UUID |
DATE SCHEDULING COMPLETED |
SPECIAL CONSIDERATIONS |
INSUFFICIENT REQUEST |
DATE COMPLETED |
DATE STATUS LAST CHANGED |
PRIORITY OF EXAM |
CLAIM TYPE |