| ID | Name | Required | List |
|---|---|---|---|
| ORI | Originating Agency Code (ORI) | Y | N |
| DRI | NLETS State Code | Y | Y |
| CTL | Optional Control Field | N | N |
| ATN | Attention of Recipient (ATN) | Y | N |
| PUR | Purpose Code (PUR) | Y | Y |
| ID | Name | Required | List |
|---|---|---|---|
| NAM | Name (NAM) | N | N |
| DOB | Date of Birth (DOB) | N | N |
| SOC | Social Security Number (SOC) | N | N |