NameDescriptionTypeAdditional information
name_of_injured_employee

string

None.

time_employee_began_work

date

None.

date_of_injury_illness

string

None.

time_of_occurrence_cannot_be_determined

boolean

None.

time_of_occurrence

date

None.

last_work_date

string

None.

date_employer_notified

string

None.

date_disability_began

string

None.

contact_name

string

None.

contact_phone

string

None.

contact_id

globally unique identifier

None.

type_of_injury_illness

string

None.

part_of_body_affected

string

None.

equipment_materials_or_chemicals_employee_was_using

string

None.

activity_employee_was_engaged

string

None.

work_process_employee_was_engaged

string

None.

how_injury_or_illness_occurred

string

None.

cause_of_injury_code

string

None.

date_return_to_work

string

None.

date_of_death

string

None.

were_safeguards_or_safety_equipment_provided

boolean

None.

were_they_used

boolean

None.

injury_occured_on_employers_premises

boolean

None.

type_of_injury_illness_code

string

None.

part_of_body_affected_code

string

None.

database_id

globally unique identifier

None.

claim_number

string

Required

status

string

None.

street

string

None.

city

string

None.

state

string

None.

zip

string

None.

county

string

None.

date_of_loss

string

None.

describe_location

string

None.

police_or_fire

string

None.

report_number

string

None.

additional_comments

string

None.

description_of_loss

string

None.

insured_database_id

globally unique identifier

None.

insured_email

string

None.

insured_first_name

string

None.

insured_last_name

string

None.

insured_commercial_name

string

None.

policy_number

string

None.