Custom Fields

Mar 23, 2017 - Driver License Information. Variable: data collected ... Employee Driver's License Expiration Date. Text .... Company FEIN - Federal Tax ID. Text.
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Custom Forms Master Field List

EHX Custom Form Field List Employee Personal Information Variable: data collected in interview

Field Name: COPY FIELD TO CUSTOM FORM

Form Field Type

Variable Export Values: (check box only)

Text

Employee Birth Date Employee Gender Employee Marital Status

Check Box

Female=Female  Male=Male

Check Box

Check box value: 1= Single 2=Married 3=Divorced 4=Separated 5=Widowed 6=Domestic Partner

Employee First Name

Text

Employee Last Name

Text

Employee Maiden Name

Text

Employee Middle Name

Text

Employee Preferred Name

Text

Employee Name Prefix

Text

Employee Name Prefix

Text

Employee Name Suffix

Text

Employee Name Suffix

Text

Employee SSN

Text

Emp Full name

Text

Employee Middle Initial

Text

Last 4 of SS#

Text

Employee Ethnicity

Text

Disabled

Check Box

1 = Yes, 2 = No

Veteran

Check Box

1 = Yes, 2 = No

Employee Contact Information Variable: data collected in interview

Field Name: COPY FIELD TO CUSTOM FORM

Form Field Type

Employee Email

Text

Employee Primary Phone Number

Text

Employee Secondary Phone Number

Text

Variable Export Values: (check box only)

Employee Residence Address Information Variable: data collected in interview

Field Name: COPY FIELD TO CUSTOM FORM

Form Field Type

Employee Residence Address City

Text

Employee Residence Address State

Text

Employee Residence Address Street 1

Text

Employee Residence Address Street 2

Text

Employee Residence Address Zip Code

Text

Address 1 History End Date

Text

Address 1 History Start Date

Text

Employee Residence 2 City

Text

Employee Residence 2 End Date

Text

Employee Residence 2 Start Date

Text

Employee Residene 2 State

Text

Employee Residence 2 Street 1

Text

Employee Residence 2 Street 2

Text

Employee Residence 2 Zip

Text

Employee Residence 3 City

Text

Employee Residence End Date

Text

Employee Residence 3 Start Date

Text

Employee Residene 3 State

Text

Employee Residence 3 Street 1

Text

1

Variable Export Values: (check box only)

Custom Forms Master Field List Employee Residence 3 Street 2

Text

Employee Residence 3 Zip

Text

Employee Residence 4 City

Text

Employee Residence 4 End Date

Text

Employee Residence 4 Start Date

Text

Employee Residene 4 State

Text

Employee Residence 4 Street 1

Text

Employee Residence 4 Street 2

Text

Employee Residence 4 Zip

Text

Employee Residence 5 City

Text

Employee Residence 5 End Date

Text

Employee Residence 5 Start Date

Text

Employee Residene 5 State

Text

Employee Residence 5 Street 1

Text

Employee Residence 5 Street 2