Custom Fields for Location: Diefer Law

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Name Field Key Data Type Model Field ID Active
Subsource opportunity.subsource SINGLE_OPTIONS opportunity Sjhr1yPkfvKGtK7eIHZZ
Medium opportunity.medium SINGLE_OPTIONS opportunity dIZ2FNRMWEx81ETXIY7W
Location/Campaign opportunity.locationcampaign SINGLE_OPTIONS opportunity EHz9vipVbId8XGdj6ub4
Address Type contact.address_type SINGLE_OPTIONS contact lIEQ9amVDKkqEjhPGCOP
Address 2 contact.address_2 TEXT contact Vccr7E51d0kG2kO0fzie
Is Primary? contact.is_primary RADIO contact c2FEfGh5C9gNNiFPEy2c
Intake PDF contact.intake_pdf FILE_UPLOAD contact BmLoxKKY23J7Dod8TxNj
Second Employer Name opportunity.second_employer_name TEXT opportunity vvOpeVJ63hhcok6ipx26
Second Employer Street Address opportunity.second_employer_street_address TEXT opportunity eFwPuhVUHDZ2kaADqdx5
Second Employer City, State, Zip opportunity.second_employer_city_state_zip TEXT opportunity PvG21h5QcOSdN5yLTqld
Second Job Occupation opportunity.second_job_occupation TEXT opportunity blU7h0Pnh6AuQNChrabl
Second Job Hours Worked Per Week opportunity.second_job_hours_worked_per_week TEXT opportunity SpOjvx0LGwzy5QBUhs6u
Second Job Hours Per Day opportunity.second_job_hours_per_day TEXT opportunity RtvgghWeZVVdh7weMLvs
Second Job - Salary or Hourly? opportunity.second_job__salary_or_hourly SINGLE_OPTIONS opportunity VTVLNRuSeeCxg6fLJNsh
Second Job - Number of Employee at Employer opportunity.second_job__number_of_employee_at_employer TEXT opportunity dMZRgM0AhUhCrJdx4fnH
Were you provided with a claim form? opportunity.were_you_provided_with_a_claim_form RADIO opportunity ktt2WwMnDjeKGaIMd5r0
When was the claim form provided? opportunity.when_was_the_claim_form_provided TEXT opportunity 7kFSDXq2QRPpFcFIWCAS
Are you receiving benefits? opportunity.are_you_receiving_benefits SINGLE_OPTIONS opportunity pMC0lEWsfVY8QNw1uCvI
Who are you receiving benefits from? opportunity.who_are_you_receiving_benefits_from TEXT opportunity B5d9aelylswg7otEy6Ez
Benefits Amount opportunity.benefits_amount TEXT opportunity sK9Rrhz0FlP24FdCgNGy
Date Last Check Received opportunity.date_last_check_received TEXT opportunity 87viENKQLPPJZvV6EvzH
Have you filed for unemployment? opportunity.have_you_filed_for_unemployment SINGLE_OPTIONS opportunity FzmzZdruGlIkVCQ7AY6o
Date filed for Unemployment opportunity.date_filed_for_unemployment TEXT opportunity 6t7LqLoaoF3v7WdviRKT
Unemployment Amount opportunity.unemployment_amount TEXT opportunity TDiqr2rb3myAYA4oUCV8
Benefits Notes opportunity.benefits_notes LARGE_TEXT opportunity x8WU7ten8onNrFrJCp89
Work Related Injury 1 opportunity.work_related_injury_1 TEXT opportunity 4FSUrPK6VWy8d2d4ByPf
Date of Work Related Injury 1 opportunity.date_of_work_related_injury_1 TEXT opportunity bnnwLI1lCeMFZE9WvCr6
Work Related Injury 1 Affected Body Parts opportunity.work_related_injury_1_affected_body_parts TEXT opportunity 5ds4Cjz96lQn6feO4vCw
Work Related Injury 1 Description opportunity.work_related_injury_1_description TEXT opportunity Fq6eWMvNuGe9lrWGkUzv
Work Related Injury 2 opportunity.work_related_injury_2 TEXT opportunity CGD4DINE70TLMqDGrs9H
Date of Work Related Injury 2 opportunity.date_of_work_related_injury_2 TEXT opportunity H0BzdnQo0shjFwAq3Xso
Work Related Injury 2 Affected Body Parts opportunity.work_related_injury_2_affected_body_parts TEXT opportunity hZriS9N3dlKdIfg3y5Oh
Work Related Injury 2 Description opportunity.work_related_injury_2_description TEXT opportunity cdDvEFmPcnjd6wOjPOnk
Work Related Injury 3 opportunity.work_related_injury_3 TEXT opportunity 59sSzJfG2yCSZxocmt6Y
Date of Work Related Injury 3 opportunity.date_of_work_related_injury_3 TEXT opportunity 0rIjWYQjOymTpn2tw3dQ
Work Related Injury 3 Affected Body Parts opportunity.work_related_injury_3_affected_body_parts TEXT opportunity QUGDOu83b2Yr3GAak1Bx
Work Related Injury 3 Description opportunity.work_related_injury_3_description TEXT opportunity 20p7B3PneMlKSaPVcJzZ
Description of Hostile Work Environment/Work Related Stress opportunity.description_of_hostile_work_environmentwork_related_stress TEXT opportunity uL5xc548U0i9A7C7l0RY
WR Injury - Case Description opportunity.wr_injury__case_description LARGE_TEXT opportunity 9NnWXhAOms6Ho1KkXiTI
WR Injury - Additional Intaker Notes opportunity.wr_injury__additional_intaker_notes LARGE_TEXT opportunity axaYwxEhEPzTVX7pEu4X
Do you feel stress from your job? opportunity.do_you_feel_stress_from_your_job RADIO opportunity UfICgb2JQcvLg9tRAkJz
Hostile Work Environment or Work Related Stress opportunity.hostile_work_environment_or_work_related_stress RADIO opportunity Kqbn2spbfEHyhEspbAXy
Do you have aches/pains from repetitive duties? opportunity.do_you_have_achespains_from_repetitive_duties RADIO opportunity l9pTEu51q2JTCabYbjrX
Do you do heavy lifting? opportunity.do_you_do_heavy_lifting RADIO opportunity gWGRIzZDLp4rSwJ9DUhC
Do you stand for long periods of time? opportunity.do_you_stand_for_long_periods_of_time RADIO opportunity l2Xn6LcEZpJUFQLXEftL
Callrail Called Number contact.callrail_called_number TEXT contact mMTCyUyxSUSu7WMuCzv7
Call Rail GCLID contact.call_rail_gclid TEXT contact ekk8k5F7Pzna188MSIFN
Call Rail Keywords contact.call_rail_keywords TEXT contact pMwFZZBo9XJXjtwQFCDe
Call Rail Call Type contact.call_rail_call_type TEXT contact oEjcN0YfhuHVXxKnLbxN
Call Rail Source contact.call_rail_source TEXT contact hkc5Wgs2kHVfs9nnRSCH
Call Rail medium contact.call_rail_medium TEXT contact ocWrfOTnOv0O7EqU6H1S
fbclid contact.fbclid TEXT contact 1cI2IThTfx74egF8darf
UTM medium contact.utm_medium TEXT contact rNq2YaPiJsoA4PlUcb2I
UTM campaign contact.utm_campaign TEXT contact ZPdY6Eux8t9Cd9nMmuWG
UTM source contact.utm_source TEXT contact FtxQ6wvwZjquRHnU2H35
Attorneys opportunity.attorneys SINGLE_OPTIONS opportunity KJDEHI9FhcQPnZw6m1er
Attorney First Name contact.attorney_first_name TEXT contact JXIaPruJAdBR7w0dTsSw
Attorney Last Name contact.attorney_last_name TEXT contact WS1vI5F1YWIflImDksK4
Treatment (WC) opportunity.treatment_wc SINGLE_OPTIONS opportunity ZTdgaWvauvZILjvjyVoS
Treatment Notes opportunity.treatment_notes LARGE_TEXT opportunity V9AgQEUzcNDFJ4uvc1Mm
Supervisor opportunity.supervisor TEXT opportunity H1e8yli6Wm7j9GAXx8EV
Supervisor’s Title opportunity.supervisors_title TEXT opportunity EIyVYEPPVxMb6C9Fyhxs
Lost Wages opportunity.lost_wages SINGLE_OPTIONS opportunity dNDgiB0bqXHgDzbOMwBP
Dates of Loss opportunity.dates_of_loss TEXT opportunity j9kqXgRDI2YfMXTSvEAi
Notice provided to supervisor within 30 days? opportunity.notice_provided_to_supervisor_within_30_days SINGLE_OPTIONS opportunity kPDhc8Fd8fDVBhRll1z6
Oral opportunity.oral SINGLE_OPTIONS opportunity JVvJuo8MdMpJJCCp8f8O
Written opportunity.written SINGLE_OPTIONS opportunity GLvKuouVlevr0lS4hrwo
Digital opportunity.digital SINGLE_OPTIONS opportunity sUCoJekmSmjoT4nWT9b5
Reason opportunity.reason LARGE_TEXT opportunity zjhaAGKi6O1Nb4Q3tAxb
Date terminated opportunity.date_terminated TEXT opportunity 8dkoXfnvSfAtj94VRUPU
Date eliminated opportunity.date_eliminated TEXT opportunity rwB8bVyMOaWvaCAo9qwk
Date resigned/quit opportunity.date_resignedquit TEXT opportunity ZzxnihnQKR2vsnJk9JWg
On leave opportunity.on_leave SINGLE_OPTIONS opportunity Ov2qEhwi9LiLhAtYr0xN
Employment Category opportunity.employment_category SINGLE_OPTIONS opportunity mHkiSithbRbQssXZ4STM
Employment Category (Other) opportunity.employment_category_other TEXT opportunity qS2x2vnh6dp3ejnJa0Kx
Per (Emp) opportunity.per_emp SINGLE_OPTIONS opportunity 3c7I5axJaE9OqDy2KejO
Approximate number of employees at the company opportunity.approximate_number_of_employees_at_the_company SINGLE_OPTIONS opportunity Z6Wsu7pjNhZLzREwwn7z
Concerns opportunity.concerns CHECKBOX opportunity duS6pgY7UpQYaOUqRPOc
Other (Below) opportunity.other_below TEXT opportunity jK29XFIWHi5HPrvp7Csy
Workplace discrimination opportunity.workplace_discrimination CHECKBOX opportunity 0bEbdZLfdNU4DHwEO7pG
Have you received/Do you have any of the following? opportunity.have_you_receiveddo_you_have_any_of_the_following CHECKBOX opportunity eY6G4wTWHZm39w17b1fD
Lost wages to date (if applicable) opportunity.lost_wages_to_date_if_applicable TEXT opportunity NaPbyJ3jGtb6su1xYxeA
Has any attorney or agency (EEOC, DOL, etc.) already reviewed this matter? opportunity.has_any_attorney_or_agency_eeoc_dol_etc_already_reviewed_this_matter SINGLE_OPTIONS opportunity u1J2lR7JmCDpv0fOQe3q
Desired Outcome opportunity.desired_outcome CHECKBOX opportunity RsdXJH1Glfl4WFzgdMiL
Other (describe) opportunity.other_describe TEXT opportunity TzY0csLqU1cyvyptOGRO
Notes opportunity.notes TEXT opportunity asNKZbVGNxpP2DHiwYJR
Best Form of Contact opportunity.best_form_of_contact SINGLE_OPTIONS opportunity Rg2GVzSvYNsw3fKc5EFc
DOB opportunity.dob TEXT opportunity 3P9vvO2abaX4BJU85rln
SS# opportunity.ss TEXT opportunity Z5C4mq0RpbcCToWFBEri
DL# opportunity.dl TEXT opportunity TOxNb404oJE00NIUsPD3
Address opportunity.address LARGE_TEXT opportunity tFNqLL5oRt8I1PwCRGz3
City opportunity.city TEXT opportunity y3tMPMrgREOnMPZlDKVo
State opportunity.state TEXT opportunity Hg1h3MLanokhNsVkPATE
Zip opportunity.zip TEXT opportunity uhITfTRrBd1PRXxHzeeu
Emergency Contact Name opportunity.emergency_contact_name TEXT opportunity E7g843oF1fgEKmFj3Ak7
Emergency Contact Relationship opportunity.emergency_contact_relationship TEXT opportunity WKqf8lk3hMmK2ZK4DSSs
Emergency Contact Phone opportunity.emergency_contact_phone TEXT opportunity Jlux5B9bhqZlVUgK8H0I
Preferred Mail Service opportunity.preferred_mail_service RADIO opportunity e4rQel7Js7wPZCm7vdB0
Interpreter Needed? opportunity.interpreter_needed RADIO opportunity 1n1Mozwk9i74dSyYEExm
Current employment status opportunity.current_employment_status SINGLE_OPTIONS opportunity yimBxEqH5akAHXyhNBuo
Employer name opportunity.employer_name TEXT opportunity pesV4h97KWpb0fcIJLr1
Employer Address opportunity.employer_location TEXT opportunity G20PKirpJYQkAEjGOD2D
Occupation opportunity.job_title__position TEXT opportunity Bff5ID2xcNTzz6GgRkiX
Start date opportunity.start_date TEXT opportunity nFWsTFDgIApzw7L3fNs6
End date (if applicable) opportunity.end_date_if_applicable TEXT opportunity PH0BPlAUxw5TXODvkna5
Rate of Pay (Emp) opportunity.wage_emp TEXT opportunity 6Ms1N4CPM3cyR9Uldgbf
Emotional distress / mental health impact opportunity.emotional_distress__mental_health_impact SINGLE_OPTIONS opportunity CQ18gBi06yFXpBREAI4o
Medical treatment or therapy sought? opportunity.medical_treatment_or_therapy_sought SINGLE_OPTIONS opportunity mtsmv3t9aymi0EYDbTTj
Special Employer Name (if agency) opportunity.special_employer_name_if_agency TEXT opportunity EfW39F03qXe1ETqiJhV3
Special Employer Address opportunity.special_employer_address TEXT opportunity bIQkaUhGq4ELs0DpW1Kb
Special Employer City, State, Zip opportunity.special_employer_city_state_zip TEXT opportunity P1SmOPWa6F9tMzagQVFi
How were you paid by the primary employer? opportunity.how_were_you_paid_by_the_primary_employer RADIO opportunity FtShzeRGJIeqPFO6lyjz
Earnings at Primary Employer opportunity.earnings_at_primary_employer TEXT opportunity kaEsoByOA2MYWAj5sn9G
Reason for Termination opportunity.reason_for_termination LARGE_TEXT opportunity peb2IZa3P108LcrSqMPF
Are you part of a Union? opportunity.are_you_part_of_a_union RADIO opportunity N2KGcuvXSgd7EVJJOw1R
Hours per Week opportunity.hours_per_week TEXT opportunity HiHbXV9carsw6a1okihj
Hours per day opportunity.hours_per_day TEXT opportunity QVqBHEvND2SYY7rcLEQK
Hourly/Salary opportunity.hourlysalary RADIO opportunity E2AMqerjgrXf7oTtA7do
Was Medical Treatment Provided by Employer? opportunity.was_medical_treatment_provided_by_employer SINGLE_OPTIONS opportunity xSpYFHxNmAaMyVSrDgUE
Clinic Name opportunity.clinic_name TEXT opportunity Zbi69hwn4a5M3vL0z07h
Clinic Phone Number opportunity.clinic_phone_number TEXT opportunity qmRCCSWXAqx3m9uNo87y
Clinic Address opportunity.clinic_address LARGE_TEXT opportunity QnSGhPmSlTA7A4gSJCtV
Last Appointment opportunity.last_appointment TEXT opportunity uLffHslnGR3N3NQe0tLE
Next Appointment opportunity.next_appointment TEXT opportunity yl7LPA27QCQO85RlXsqr
Referral to Specialist opportunity.referral_to_specialist SINGLE_OPTIONS opportunity W7Is3scrTbnCnXWUYsLt
Any Restrictions? opportunity.any_restrictions SINGLE_OPTIONS opportunity qE3uFZD9f9a2vhAnLZez
Diagnostic Studies opportunity.diagnostic_studies SINGLE_OPTIONS opportunity NnqA81aEwS9VmA8EGgga
Anticipated MMI opportunity.anticipated_mri SINGLE_OPTIONS opportunity exZaLROHMpi4xB9QsN6G
Surgery Date opportunity.surgery_date TEXT opportunity pWy2WeCvU2438pL4QSip
Were you hospitalized? opportunity.were_you_hospitalized SINGLE_OPTIONS opportunity fEOSbcQXR9pXrlZSdDcz
Hospital Name opportunity.hospital_name TEXT opportunity dT221ugG2ikKPpMo8hg4
Pre Existing Medical Conditions opportunity.pre_existing_medical_conditions LARGE_TEXT opportunity l2oGth7LkGqbS6xk7fZQ
Witness(es) to Accident? opportunity.witnesses_to_accident SINGLE_OPTIONS opportunity qF31fyBfla38w5GZ6eXG
Was the injury reported? opportunity.was_the_injury_reported SINGLE_OPTIONS opportunity 8JSreB7n1BkDEpjbFIzX
Who was the injury reported to? opportunity.who_was_the_injury_reported_to TEXT opportunity yxwStAMTzGRMJULsGR9e
How can we help? contact.how_can_we_help SINGLE_OPTIONS contact EcdJhE3bKc2OzUBySrgg
Preferred contact method: contact.preferred_contact_method SINGLE_OPTIONS contact rSn4d5yPTWfciYT8iXfe
Preferred language contact.preferred_language SINGLE_OPTIONS contact m5cjm1dBHjePfrTjSlxB
Case type if applicable: contact.case_type_if_applicable SINGLE_OPTIONS contact TFcyPo8VqQbxuRlVFoJb
Tell us a bit about your case: contact.tell_us_a_bit_about_your_case LARGE_TEXT contact CtkuzYlsSXtiuwh7PVs1
NPS Score 3 contact.nps_score_3 TEXT contact oiLrehtULm21kp2je5Bf
NPS Level contact.nps_level NUMERICAL contact bghdAPgp4ZoNb65Ozpot
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Employment Law - Case Type contact.employment_law__case_type SINGLE_OPTIONS contact DXw3HvKWKrLK69v3gVpD
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SS# contact.ss TEXT contact lGxUKaonCK8rqPMGWQTv
Mail contact.mail TEXT contact THt3UEHHzP1lXiiDkcq6
Ph contact.ph TEXT contact uKuepbcsIoa1E86wCRra
Referral Notes contact.referral_notes LARGE_TEXT contact HlCY838Dwbw3fQNYkCBj
Referral Firm Attorney First Name contact.referral_firm_attorney_first_name TEXT contact HnjBJBvhQpP321VSp8h9
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Case Type opportunity.case_type SINGLE_OPTIONS opportunity xGQWhy7cs7Gxg6lUjTiP
Reason for rejection opportunity.abandoned_reason SINGLE_OPTIONS opportunity TFflfZD2yZEJXMTVuEW2
Lost Reason Other (Notes) opportunity.lost_reason_other_notes LARGE_TEXT opportunity E8l520Lc8pSMsZosLeyO
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Employment Law - Case Type opportunity.employment_law__case_type SINGLE_OPTIONS opportunity xayuOqYen7ZoGrVeKCZd
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Internal review opportunity.internal_review SINGLE_OPTIONS opportunity EWYXTghsVE4HSapD2Ben
Preferred Language opportunity.preferred_language SINGLE_OPTIONS opportunity 3vggS0EOejb7KncsysFK
Referral Source (Client Reported) opportunity.referral_source_client_reported SINGLE_OPTIONS opportunity Azn50aQ6rVKQJZVWRO2Z
Former/Current Client Name opportunity.formercurrent_client_name TEXT opportunity kfZ4jKa8Z9eRmcnXxUKV
Friend Name opportunity.friend_name TEXT opportunity OkrQdzMJhfwPtgzE6vmA
Another attorney Name opportunity.another_attorney_name TEXT opportunity hXVsyQSMrcw0R540HT2q
Nombre contact.nombre TEXT contact miNya4842ZT56Ah7jrXa
Apellido contact.apellido TEXT contact bDLrmTdV2rk7mLxmX7a2
Teléfono contact.telfono TEXT contact 0aTOYVpInQXGIbEv67s5
Correo electrónico contact.correo_electrnico TEXT contact suFpm3uz4qZf8Ngwiyvq
¿Cómo podemos ayudarle? contact.cmo_podemos_ayudarle SINGLE_OPTIONS contact Eyh25NKKQJ26Jn7MsZAV
Método de contacto preferido contact.mtodo_de_contacto_preferido SINGLE_OPTIONS contact p3IP9jCM7bfgZxJisfn4
Idioma preferido contact.idioma_preferido SINGLE_OPTIONS contact rL4ub7aDxD0Hp5XCiAaV
Tipo de caso (si aplica): contact.tipo_de_caso_si_aplica SINGLE_OPTIONS contact ZRr9rDbLaYsKcvJSe3P1
Cuéntenos un poco sobre su caso: contact.cuntenos_un_poco_sobre_su_caso LARGE_TEXT contact MWHNbHqhozFFbyfymCAx
Pulse Primary Source contact.pulse_primary_source TEXT contact u0CbnXnegWkcg4BFBqxk
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Pulse Location/Campaign contact.pulse_locationcampaign TEXT contact bZhaX11rOgHBMrEOOjxv
Did you work overtime? opportunity.did_you_work_overtime RADIO opportunity d8oJk9bVuxPha8gdbu6J
Second Job - Did you work overtime? opportunity.second_job__did_you_work_overtime RADIO opportunity XlDBVYwpo0ShuJHdPied
Were you paid time and a half for overtime? opportunity.were_you_paid_time_and_a_half_for_overtime RADIO opportunity oQ8XeL3CO27rKGIkqOQW
Were you paid overtime for more than 8 hours/per day of work? opportunity.were_you_paid_overtime_for_more_than_8_hoursper_day_of_work RADIO opportunity 7zeqzeL6vIYOquGTlHWQ
Were you paid OT if you worked more than 40 hours per week? opportunity.were_you_paid_ot_if_you_worked_more_than_40_hours_per_week RADIO opportunity 0ywEP6kuJnVqzf3V5sQa
Second Job - Were you paid OT if you worked more than 40 hours per week? opportunity.second_job__were_you_paid_ot_if_you_worked_more_than_40_hours_per_week RADIO opportunity n5k1kAdsouMtZkaBOdq1
Session Source contact.session_source TEXT contact IE826b0xHP7602ZxRdxI
Were you told not to take a break or lunch? opportunity.were_you_told_not_to_take_a_break_or_lunch RADIO opportunity 0RoAs26DTSzDx5lkCmGZ
Second Job - Were you told not to take a break or lunch? opportunity.second_job__were_you_told_not_to_take_a_break_or_lunch RADIO opportunity 20FAk1CjWuV80oprYA3x
Off the clock - if yes, what happened? opportunity.off_the_clock__if_yes_what_happened LARGE_TEXT opportunity 1K2g7a6txKmjmGgUSQ2f
Possible Civil Case - Notes opportunity.possible_civil_case__notes LARGE_TEXT opportunity XzlhckqK8SqVW22VChYO
Were you sexually harassed at work? opportunity.were_you_sexually_harassed_at_work RADIO opportunity Gmw5wWXrAa04hvRUZinz
Sexual Harassment Description/Notes: opportunity.sexual_harassment_descriptionnotes LARGE_TEXT opportunity vOHMtEp8Q52TL4Kf0SAj
Treatment contact.treatment TEXT contact Hpa2ke83WGe0X5Ce9BW1
Timeframe contact.timeframe TEXT contact brfdkO2oD3jQnGgxcrA8
Injury contact.injury TEXT contact u2frXRPdfxIQjU3Y9rx7
Liability & Coverage contact.liability__coverage TEXT contact FUZEYqAZwNDsW31Z0Hgq
Case Evaluation contact.case_evaluation TEXT contact 8HKOyib66AgUZmsqzoos
response_pdf contact.response_pdf FILE_UPLOAD contact hFokAS3mmUs0JPGGtF1t
Referral Attorney Page contact.referral_attorney_page TEXT contact mWZFvd9KtTJXXe07qebz
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Lawruler Documents contact.lawruler_documents FILE_UPLOAD contact LRf2RckdjRd8HT9bcbz8
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Job Title contact.job_title TEXT contact YEsGC8Aaa97I7vvfJdHL
Date of Death contact.date_of_death DATE contact AXaxjEVohg9mooTXEUVR
Drivers License contact.drivers_license TEXT contact ruwngD5oeATqmOtnCY4Z
Date of Bankruptcy contact.date_of_bankruptcy DATE contact SSe5N0MjEU5kklmcg0Bv
County contact.county TEXT contact 1WfNB141WzLbxq6h1mb4
Injury Type opportunity.injury_type CHECKBOX opportunity 52FDm4xvQx1kOQXeWcul
Injury Notes opportunity.injury_notes LARGE_TEXT opportunity zGnrIC7h1AmVguYJ1e4B
Description of Incident opportunity.description_of_incident LARGE_TEXT opportunity 9g5GbRTWLVIptRyOhOsA
Industry opportunity.industry SINGLE_OPTIONS opportunity Mm8sH7UR5PYtMxZSgbxl
Position/Role opportunity.positionrole TEXT opportunity HLSe4lsMCAacPpQ2y4cH
Employer opportunity.employer TEXT opportunity WoXeR4QYRQlVUHtXnAmu
Wage opportunity.wage TEXT opportunity y7lWiJGsqaWYxgerlIvz
Per opportunity.per SINGLE_OPTIONS opportunity GmUcCvfipCr798UYEwbx
Returned to Work opportunity.returned_to_work SINGLE_OPTIONS opportunity Z8uOI3KuCbw6T8W4CF2j
Third Party Claim opportunity.third_party_claim SINGLE_OPTIONS opportunity hPNeuy4gnoX8l0zI72W8
If injured in a vehicle in the course of employment opportunity.if_injured_in_a_vehicle_in_the_course_of_employment SINGLE_OPTIONS opportunity pDDwsVpFZdtemCaVLg1V
Checklist opportunity.checklist CHECKBOX opportunity HBVJ9AaZTvcHFOMhZeUd
SUB IN: ADJ opportunity.sub_in_adj TEXT opportunity wTx5VbEF60oEFZ6YKg1G
Intro Call Date opportunity.intro_call_date TEXT opportunity 71s73MfPvfNmjMlM5qQ7
Intro Call Time opportunity.intro_call_time TEXT opportunity uzqCtI2tJ44IB4HxKihT
Case Manager opportunity.case_manager SINGLE_OPTIONS opportunity 9XXAWtGtqi1UZZJjlYmn
Attorney opportunity.attorney SINGLE_OPTIONS opportunity ojIABHu3QrWfBl6BteVU
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Transportation Needed opportunity.transportation_needed RADIO opportunity Dioip59X5W3hxzgOSolO
Primary Injury opportunity.primary_injury TEXT opportunity 2EQuokHywcWnNtEsOqF5
Are there prior work-related injuries? opportunity.are_there_prior_workrelated_injuries RADIO opportunity DUaq22KPZCtcu6d4BPyj
When were the prior injuries? opportunity.when_were_the_prior_injuries TEXT opportunity fa4Uo8OEoPBFSsy1358F
What body parts were affected in prior injuries? opportunity.what_body_parts_were_affected_in_prior_injuries LARGE_TEXT opportunity XmVIKNzuGSoJmjDpghF0
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Was a claim filed for prior work related injuries? opportunity.was_a_claim_filed_for_prior_work_related_injuries RADIO opportunity saluQZ80mSVFnfDGMEoi
Did you have an attorney for prior work-related injuries? opportunity.did_you_have_an_attorney_for_prior_workrelated_injuries RADIO opportunity SfdBoL7ZD3D2id6XaEVH
Who was the attorney for prior work related claim? opportunity.who_was_the_attorney_for_prior_work_related_claim TEXT opportunity biQOe2zLiwWneTPdaYoD
Are there other NON work-related injuries/accidents? opportunity.are_there_other_non_workrelated_injuriesaccidents RADIO opportunity aCjflWZxZCHFWrcPuTxE
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Prior Attorney Phone Number opportunity.prior_attorney_phone_number TEXT opportunity fnOiOkoC8rIIf4MqXb5n
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Were you forced to work off the clock? opportunity.were_you_forced_to_work_off_the_clock RADIO opportunity 7ncUZ4mGtOONo14wa0Bd
Second Job - Were you paid time and a half for OT? opportunity.second_job__were_you_paid_time_and_a_half_for_ot RADIO opportunity Ij5qmKN7ktGhPNWvZiZ3
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What problems are you having with your workers’ compensation case? contact.what_problems_are_you_having_with_your_workers_compensation_case LARGE_TEXT contact dT49IjzUQdiZO12IQruS
AI Chat Medium contact.ai_chat_medium TEXT contact FdT1PYuJ7Ah0e8xCkcAZ
AI Chat Ad contact.ai_chat_ad TEXT contact t0zjKtb7H9QO2wMNd5UH
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AI Chat First Inbound DM contact.ai_chat_first_inbound_dm TEXT contact RWy6uFoq15OXhL2UwMhF
AI Chat First DM Date contact.ai_chat_first_dm_date DATE contact 5IBsJPuzpFbafa7grnnf
Session UTM Medium contact.session_utm_medium TEXT contact R1J8r53fP8VpdvACv6YA
Second Job - Were you paid OT for more than 8 hours per day of work? opportunity.second_job__were_you_paid_to_for_more_than_8_hours_per_day_of_work RADIO opportunity KcfJACwgsIzyKirkdZ3a