NameDescriptionTypeAdditional information
programCode

string

None.

dateOfLoss

date

None.

lossTime

date

None.

policyNumber

string

None.

claimNumber

string

None.

insuredFirstName

string

None.

insuredMiddleName

string

None.

insuredLastName

string

None.

insuredDateOfBirth

date

None.

insuredPhone

string

None.

insuredEmail

string

None.

insuredAddress

string

None.

insuredCity

string

None.

insuredState

string

None.

insuredZip

string

None.

insuredDriversLicense

string

None.

insuredDriversLicenseState

string

None.

contactSameAsInsured

boolean

None.

contactFirstName

string

None.

contactMiddleName

string

None.

contactLastName

string

None.

contactPhone

string

None.

contactEmail

string

None.

contactAddress

string

None.

contactCity

string

None.

contactState

string

None.

contactZip

string

None.

callbackDate

date

None.

callbackTime

date

None.

preferredContactMethod

string

None.

dateEntered

date

None.

dateEmployerNotified

date

None.

fuelSpilled

boolean

None.

underDispatch

boolean

None.

haulingCargo

boolean

None.

authoritiesContacted

boolean

None.

policeReportNumber

string

None.

policeDepartmentName

string

None.

escalation

boolean

None.

remarks

string

None.

vehicles

Collection of Vehicle

None.

injured

Collection of Injured

None.

witnesses

Collection of Witness

None.

attachments

Collection of Attachment

None.