| ApplicantSignature | Applicant's Signature |
| ClaimAmountAgreed | Claim Amount Agreed |
| CoverageConfirmed | Coverage Confirmed |
| Shipping | Date an item was shipped. This date is provided by the manufacturer. |
| DriverInsPrinOperator | Date on which a driver has been continuously insured as a principal operator |
| Theft | Date on which an item was stolen. This information is provided when a loss is submitted on an item that has already been reported stolen. |
| AttorneyDisclosureForm | Date on which the attorney disclosure form was received by the insurer. |
| LossProof | Date on which the insured signed the proof of loss |
| ReptEmployer | Date Reported to Employer |
| ReptInsurer | Date Reported to Insurer |
| ReptJurisdiction | Date Reported to Jurisdiction |
| Export | Date that an item was exported |
| Impound | Date that an item was Impounded |
| DisabilityBegan | Date that Disability Began |
| DisabilityEnd | Date that Disability Ended |
| Prepared | Date the data was prepared |
| Returned | Date the individual returned to work. |
| EstReturn | Estimated Date of Return to Work |
| FinalClaimsPaid | Final Claims Paid |
| FinalFeesPaid | Final Fees Paid |
| HospFirstTreatmentDt | Hospital First Treatment Date |
| LastPeerReview | If a peer review has been assigned to the claim, then the date on which this claim was last peer reviewed. |
| InitialDisabilityStartDate | Initial Disability Start Date |
| LossDt | Loss Date |
| PhysFirstTreatmentDt | Physician First Treatment Date |
| ProducerSignature | Producer's Signature |
| ReturnToWorkFull | The date, following the most recent disability period, on which the injured worker actually returned to work under full duty. |
| ReturnToWorkModified | The date, following the most recent disability period, on which the injured worker actually returned to work under modified duty. |
| MaxMedImprovement | The date after which further recovery from or lasting improvements to an injury or disease can no longer be anticipated. The date is based upon reasonable medical probability. |
| DCIICRValuation | The date as of which the DCI or ICR data is valued in this transaction |
| TrialHearing | The date on which a trial or a hearing is to occur |
| TrialHearing | The date on which a trial or a hearing is to occur |
| VocRehabEnrollement | The date on which claimant was first enrolled in Vocational Rehabilitation |
| AttorneyDisclosure | The date on which it was disclosed that an attorney was hired. |
| AttorneyDisclosure | The date on which it was disclosed that an attorney was hired. |
| SuitFiled | The date on which legal action was filed. |
| Contacted | The date on which the claims handler contacted the claimant |
| FirstNotificationAcknowledgement | The date on which the first notification of the loss was acknowledged to the insured. |
| FormalNotice | The date on which the insurer received notice of an occurrence of loss which eventually led to the claim being made. |
| SingleSum | The date on which the single sum payment was made to the claimant. |
| EnteredClmAdmin | The date on which this data was entered into the Claim Administrator's system. |
| EnteredInsurer | The date on which this data was entered into the Insurer's System |
| EnteredTPA | The date on which this data was entered into the TPA's system. |
| FirstReserveEstablished | The date that first financial (indemnity or fee) reserve was assigned to the claim, including fees and indemnities. |
| LastWorked | The last date the individual worked. |
| LastYr | The last year the individual was exposed to the condition allegedly giving rise to a claim |
| LastDiary | The open diary date assigned to the claim. The last diary date. |