
| Prompt | Response | Req | Len |
|---|---|---|---|
| Adjustment Code | Informational only. Displays the Adjustment Code. | ![]() |
5 |
| Amount $ | Informational only. Displays the adjustment amount. | 15 | |
| Remarks | Type any remarks you want. | 40 | |
| Adjustment Date | Type the date you want or click the calendar icon to select a date. | 10 | |
| Batch Number | Type the batch number or click the magnifying glass to search the table. | 17 |