Administrative Information

Case Number %%[number,input_text]%%

Case Status %%[status,case_status]%%

Date Opened %%[open_date,input_date_selector]%%

Office %%[office,office]%%

Primary Counsel Assign %%[user_id,case_handlers]%%

Co-counsel #1 Assign %%[cocounsel1,case_handlers]%%

Co-counsel #2 Assign %%[cocounsel2,case_handlers]%%

Undup. Service %%[undup,undup]%%

Funding %%[funding,funding]%%

Problem Location %%[city_problem_location,city_problem_location]%%

Type of Service %%[type_service,type_service]%%

Primary Client %%[client_id,case_contacts_menu,relation_code=1]%%

Closing Information

%%[lsc_rules_notice]%%

Date Closed Set to today %%[close_date,input_date_selector]%%

Reason Rejected %%[reject_code,reject_code]%%

%%[good_story,yes_no,checkbox]%% Good Story

Closing Code %%[close_code,close_code]%%

Outcome %%[outcome,outcome]%%

County %%[case_county,input_text]%%

ZIP Code %%[case_zip,input_text]%%

Intake Screener

Record Creation Date

Record Last Edited Date