
| Prompt | Response | Req | Len |
|---|---|---|---|
| Case Manager/Adjuster Code | Type the code you want or click the magnifying glass to search the table. This code cannot begin with a zero. | ![]() |
6 |
| Printing Name | Type the name in the format you want to print on reports. | ![]() |
30 |
| Name (L, S, F, M) | Type the Case Manager/Adjuster's name in the four boxes provided, in the order Last name, Suffix, First name, and Middle name. The Last name and First name are required. | ![]() |
60 / 10 / 35 / 25 |
| Title/Degree | Type the title/degree for the Case Manager/Adjuster. | 30 | |
| Address Line One | Type the address for the Case Manager/Adjuster. | 40 | |
| Address Line Two | Type any additional address information for the Case Manager/Adjuster. | 40 | |
| Zip Code | Type the five digit zip code or the zip+four. If you type the zip+four, the dash is automatically inserted before the last four digits. | 10 | |
| City | The city automatically populates based on the Zip Code entered, or you can type the name of the city. | 20 | |
| State | The state automatically populates based on the Zip Code entered, or you can type the state code or select from the drop-down list. Click Validate Address to convert the address entered into the standard United States Postal Service format. The Address Line One will be converted; the information in Address Line Two (if standard) moves up to the end of Address Line One; the Zip Code is converted to Zip+4 and the City and State are converted based on the Zip Code. If a standard match cannot be found, messages display to explain. You can still choose to override what is converted by Validate Address by typing in any address information you choose. |
40 | |
| Phone Number | Type the telephone number for this Case Manager/Adjuster. | 20 | |
| Cell Phone Number | Type the cell phone number for this Case Manager/Adjuster. | 20 | |
| Fax Number | Type the fax number for this Case Manager/Adjuster. | 20 | |
| E-Mail Address | Type the e-mail address for this Case Manager/Adjuster. | 40 | |
| Company | Type the company name for this Case Manager/Adjuster. | 35 |