| ID | Name | Required | List |
|---|---|---|---|
| ORI | Originating Agency Identifier (ORI) | Y | N |
| ID | Name | Required | List |
|---|---|---|---|
| SRCHORI | Entering ORI (SRCHORI) | N | N |
| WAC | WACIC Number (WAC) | N | N |
| OCA | Agency Case Number (OCA) | Y | N |
| CNDNO | Condition Number (CNDNO) | Y | N |
| ID | Name | Required | List |
|---|---|---|---|
| DATE | Effective Date (DATE) | N | N |
| DOE | Condition DOE (DOE) | N | N |
| CNDNO1 | Condition Number (CNDNO1) | N | N |
| CND | Condition Code (CND) | N | Y |
| CNDLITERAL | Cond. Literal (CNDLITERAL) | N | N |
| CNDLITERALS | Cond. Literal Short (CNDLITERALS) | N | N |