Custom Fields for Location: MacCloskey Kesler & Associates

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Name Field Key Data Type Model Field ID Active
Treatment 1 opportunity.treatment_1 TEXT opportunity 1hgGACbJnVvss6edhM7f
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Citation opportunity.citation RADIO opportunity fd0a34LEXfieGDyUtiQA
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Hit & Run opportunity.hit__run RADIO opportunity qmI6Q0ug7jCFnzQatHDj
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Fatality ? opportunity.fatality_ RADIO opportunity R7trvqdb9WLDr2o1sDma
Dram? opportunity.dram RADIO opportunity 6mFAyEn03kHTEVcznX89
Police Investigated opportunity.police_investigated SINGLE_OPTIONS opportunity RYdRYfBKWjw5zVWq2nSw
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Umbrella opportunity.umbrella RADIO opportunity 2Ec6iHu1p1w0yRxZxkiL
Group Health Insurance opportunity.group_health_insurance TEXT opportunity AO4Ui6s36jBOdVqami0X
Plaintiff’s Auto Insurance opportunity.plaintiffs_auto_insurance TEXT opportunity F0FF1fwNLz1vXgN3vJed
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Contacted by Defendant’s Insurance opportunity.contacted_by_defendants_insurance SINGLE_OPTIONS opportunity 78vZtbBgdfW8LuJoN01G
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Medicaid opportunity.medicaid SINGLE_OPTIONS opportunity OTRPsRhYlFY4mA8BgtXQ
Medicare opportunity.medicare SINGLE_OPTIONS opportunity nmmLwtSrJ3MWTNWzq6mc
Lost Wage Claim opportunity.lost_wage_claim TEXT opportunity 2Fy235seFzS8jHekITRM
Other Attorney’s Lien opportunity.other_attorneys_lien TEXT opportunity 2PiwmWMUldHOrASy3xMl
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How many retainers do you need to set up? opportunity.how_many_retainers_do_you_need_to_set_up SINGLE_OPTIONS opportunity v3259NfcsQaoQixaxvGs
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Which agreement do you wish to send?-1 opportunity.which_agreement_do_you_wish_to_send1 CHECKBOX opportunity zkkLm9w9aBDM0doWeez4
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Black & Jones Attorney -6 opportunity.black__jones_attorney_6 SINGLE_OPTIONS opportunity D78TtpC8YQLCzT4hWmXD
Case Evaluation opportunity.case_evaluation SINGLE_OPTIONS opportunity 3vc5mZXgcA3mZ0upU2Jv
Emergency Contact Address opportunity.emergency_contact_address LARGE_TEXT opportunity pn74HXUHoKmA8aMh6gL1
Date of Incident contact.date_of_incident DATE contact Speft18sE85P115Z7XIr
NPS Feedback contact.nps_feedback LARGE_TEXT contact b3PcFULjkKyG43SzEg2K
Liability & Coverage opportunity.liability__coverage SINGLE_OPTIONS opportunity Aqa3kfQLSSSPQbuVpEaa
Case Type opportunity.case_type SINGLE_OPTIONS opportunity O35kmqkxKpkPJt3sFX1e
Treatment opportunity.treatment SINGLE_OPTIONS opportunity UU194kd3Jylf1DL3gSLp
Injury opportunity.injury SINGLE_OPTIONS opportunity mQ6VpLpt9PNX8KeGwntX
Timeframe opportunity.timeframe SINGLE_OPTIONS opportunity oRqVqVd9oMrVu8HYuhKo
Reason for rejection (Decline) opportunity.reason_for_rejection_decline SINGLE_OPTIONS opportunity CF4Dm7QgdkJqiG5OqjBT
Reason for Rejection (Decline) - Other notes opportunity.reason_for_rejection_decline__other_notes LARGE_TEXT opportunity UyPJgRRsVg80Sa3vVk7S
Intake Report PDF contact.intake_report_pdf FILE_UPLOAD contact WM0im7lzQIRHNqmBuSEd
Preferred Language opportunity.preferred_language SINGLE_OPTIONS opportunity MgrW3af412QnlnMHiDxR
Best Form of Contact - Intake Form contact.best_form_of_contact__intake_form SINGLE_OPTIONS contact RD0APuLUTwHHtAgCedEr
Pronouns - Intake Form contact.pronouns__intake_form SINGLE_OPTIONS contact rzcjPszNEavy0iW2eJrj
Salutation - Intake Form contact.salutation__intake_form SINGLE_OPTIONS contact LrzUdYxM9bl7kAqoMAd2
SSN - Intake Form contact.ssn__intake_form TEXT contact CtxEdp5Vquh3begapqkL
Date of Incident - Intake Form contact.date_of_incident__intake_form DATE contact 8fLxI8HSbIbvsWpJYLEx
Amount - Intake Form contact.amount__intake_form TEXT contact UVxz7blg3OO5qDk3lG2A
Police Investigated - Intake Form contact.police_investigated__intake_form SINGLE_OPTIONS contact gkd1IOFGvMNhowdmg3fP
Vehicle Location - Intake Form contact.vehicle_location__intake_form TEXT contact Lx7fF7kDwMk4CWgDNYBT
Witness 1 Phone - Intake Form contact.witness_1_phone__intake_form TEXT contact iylILIuSvokTtKJq6Sdc
Witness 1 Name - Intake Form contact.witness_1_name__intake_form TEXT contact h8rLAx4pRudLMZJrUUJ0
Location - Intake Form contact.location__intake_form LARGE_TEXT contact rPEf9nzp1skmLc5fPyIt
Incident Notes - Intake Form contact.incident_notes__intake_form LARGE_TEXT contact HMUIKDG8ySorw1HyR3N7
Hospital/Emergency Name - Intake Form contact.hospitalemergency_name__intake_form TEXT contact Oj5mxmn9E2bdsHXNQkfJ
Hospital/Emergency Dates - Intake Form contact.hospitalemergency_dates_intake_form DATE contact 7mIz9ARW5kvuki2Aq8EE
Hospital-In Patient - Intake Form contact.hospitalin_patient__intake_form SINGLE_OPTIONS contact 8YJON0wytvArNGrOaGHf
Taken by Ambulance - Intake Form contact.taken_by_ambulance__intake_form SINGLE_OPTIONS contact m0zd573xKhOFVVKeWlWb
Prior Injuries - Intake Form contact.prior_injuries__intake_form LARGE_TEXT contact xeRtLKOdLwIytThcCxw0
Follow-Up Treatment - Intake Form contact.followup_treatment__intake_form LARGE_TEXT contact Z2A6iR93FWegWmMwfvnF
Employer - Intake Form contact.employer__intake_form TEXT contact 8bnaI33O3GvAYoyyGPJP
Address (EI) - Intake Form contact.address_ei__intake_form TEXT contact 7q0emIthtfljPxPYw0gZ
City (EI) - Intake Form contact.city_ei__intake_form TEXT contact I4upSkwK087Er7ca7Nfq
State (EI) - Intake Form contact.state_ei__intake_form TEXT contact qfsf58ghoJwOjFNsBNb0
Days Missed - Intake Form contact.days_missed__intake_form TEXT contact auDYCQsEaHauPXfA14MY
Wage - Intake Form contact.wage__intake_form TEXT contact s2ucq27cI1qwRCcjsmry
Hrs/Wk - Intake Form contact.hrswk__intake_form TEXT contact CHLBwDVdVHMlY8eSvIve
Returned to Work - Intake Form contact.returned_to_work__intake_form SINGLE_OPTIONS contact kivGZTto8b4iPvIE0wSS
Contacted by Defendant’s Insurance - Intake Form contact.contacted_by_defendants_insurance__intake_form SINGLE_OPTIONS contact LN9lnppstBHIHGC3Pde5
Offer Made - Intake Form contact.offer_made__intake_form SINGLE_OPTIONS contact uiqq9lg7A2YrUwSHoXIY
Medicare - Intake Form contact.medicare__intake_form SINGLE_OPTIONS contact eUhVkcFyDoktcCVUNXw5
Insurance #1 - Intake Form contact.insurance_1__intake_form TEXT contact N9JSWyjoXyzb4f725Srg
Insurance Amount - Intake Form contact.insurance_amount__intake_form TEXT contact TYRNyfQ0FMxtgZfLSw5R
Defendant #1 - Intake Form contact.defendant_1__intake_form TEXT contact Vu5HE6YyDNzB2o9kx0PZ
Defendant #2 - Intake Form contact.defendant_2__intake_form TEXT contact FpWuJYL3e1Hn5XTpw5DJ
Group Health Insurance - Intake Form contact.group_health_insurance__intake_form TEXT contact sfqZdKltbSLpMDMnzrNg
Policy No - Intake Form contact.policy_no__intake_form TEXT contact Pf6CBAZr7OF2OUp46vlL
Lost Wage Claim - Intake Form contact.lost_wage_claim__intake_form TEXT contact 4Nt7OX1dsrl7xrNej3j4
Plaintiff’s Auto Insurance - Intake Form contact.plaintiffs_auto_insurance__intake_form TEXT contact BQqq37Wh9bpWIQ1hovwl
Liability ONLY - Intake Form contact.liability_only__intake_form SINGLE_OPTIONS contact 12GYRDxkdXaxCCsypYWg
Med Pay - Intake Form contact.med_pay__intake_form SINGLE_OPTIONS contact 0jSz8INrtELmTo4IvdBf
Medicaid - Intake Form contact.medicaid__intake_form SINGLE_OPTIONS contact BCwDLN2zjFTFcIQA9MIP
Address - Intake Form contact.address__intake_form TEXT contact yzjzsw8j93pSG4OK8qjj
Insurance #2 - Intake Form contact.insurance_2__intake_form TEXT contact 2z5e00LfTB6anVgu3nyr