| ID | Name | Required | List |
|---|---|---|---|
| ORI | Originating Agency Code (ORI) | Y | N |
| ATN | Attention of Recipient (ATN) | Y | N |
| ID | Name | Required | List |
|---|---|---|---|
| NAM | Name (NAM) | N | N |
| FBI | FBI Number (FBI) | N | N |
| SID | State ID Number (SID) | N | Y |
| ID | Name | Required | List |
|---|---|---|---|
| DPT | Postal Address (DPT) | N | N |
| ADR | Street Address (ADR) | N | N |
| BLD | Building (BLD) | N | N |
| CIS | City and State (CIS) | N | N |
| ZIP | Zip Code (ZIP) | N | N |