File SDWL_TRANSFER_ACCEPT(409.36) Data List
| NAME |
SEX |
DATE OF BIRTH |
SOCIAL SECURITY NUMBER |
REQUESTING STATION NUMBER |
STREET ADDRESS [LINE 1] |
STREET ADDRESS [LINE 2] |
STREET ADDRESS [LINE 3] |
CITY |
STATE |
ZIP CODE |
COUNTY |
TEMPORARY ADDRESS START DATE |
TEMPORARY ADDRESS END DATE |
PHONE NUMBER |
TRANSMISSION DATE/TIME |
COVERSHEET REQUESTED |
SERVICE CONNECTED? |
SERVICE CONNECTED PERCENTAGE |
PRIMARY ELIGIBILITY CODE |
COMMENTS |
SENDING FACILITY TRANSFER ID |
STATUS |
FACILITY TRANSFERRED TO |
DESIRED DATE OF APPOINTMENT |
WAIT LIST TYPE |
SD WAIT LIST ENTRY |
WAIT LIST TYPE EXTENSION |
INTEGRATION CONTROL NUMBER |