| AuthorizeMedRecsInd | Indicates that the written authorization to release this individual's medical records is on file. |
| AuthorizeSSNInd | Indicates that the written authorization to release this individual's social security number is on file. |
| BorrowedDept | The department or division of the company that was borrowing the employee. |
| ControllingStateProv | The state, province, canton or similar geographic location when not contained within the U.S. Postal Service code list. |
| ControllingStateProvCd | A code for the state used to determine some rating factors and Insurance Services Office reporting categories. The source of the code list is the U.S. Postal Service. |
| ControvertedCaseInd | Indicates if the claim is or ever was contested or disputed per compensibility and/or disability by the insurer. |
| CurrentEmploymentStatusCd | Identifies the current employment status of this individual. This element uses the EmploymentStatus code list. |
| EmployeePay | This aggregate identifies the type and amount of payments received by the employee. |
| EmployeeSchedule | This aggregate provides information on the employee's schedule. |
| EmploymentStatusCd | Identifies the employment status of this individual. This element uses the EmploymentStatus code list. |
| FullPayDayInjuredInd | Indicates if the injured/ill employee will be paid for the full day of the injury/illness. |
| HiredDt | The date this individual was hired by their current employer. |
| HiredStateProv | The state, province, canton or similar geographic location in which the individual was hired when not contained within the U.S. Postal Service code list. |
| HiredStateProvCd | The state in which the individual was hired. The source of this code list is the U.S. Postal Service. |
| NumDependents | The number of dependents of this individual. |
| NumExemptsEntitled | The maximum number of exemptions that the individual is entitled to claim on their annual federal income tax. |
| NumExemptsWithholding | The maximum number of exemptions that the individual claims on their withholding information provided to the employer. |
| OccurredPremisesCd | A code indicating the premises on which the accident, injury, or illness occurred. This element uses the OccurredPremises code list. |
| RatingClassificationCd | An industry code used to classify the exposure, risk, or coverage. The source of this list includes various bureaus, insurers, and other state manuals or rating organization. |
| RegularDept | The department or division of the company to which the employee reports. |
| SafeguardsDesc | Description of any safeguards being used at the time of injury/illness. |
| SafeguardsProvidedInd | Indicates if any type of safeguards or safety equipment were provided. |
| SafeguardsUsedInd | Indicates if any safeguards are used. |
| SafetyEquipProvidedDesc | Description of safety equipment provided. |
| SafetyEquipUsedInd | Indicates if any type of safety equipment was in use at the time of the injury/illness. |
| SalaryContinuanceInd | Indicates if Salary Continuance applies. |
| StartedCurrentJobDt | The date on which this employee started his/her current job. |
| TaxFilingStatusCd | A code used to indicate the individual's federal tax filing status. This element uses the TaxFilingStatus code list. |
| WorkBeganTime | The time of day that work began for the employee on the day of the injury/illness. |