|
Field Name |
Length |
Type |
Comments |
0 |
(blank) |
1 |
N/A |
|
1 |
Agent's Last Name |
25 |
Character |
|
2 |
Agent's First Name |
12 |
Character |
|
3 |
Agent's Middle Name |
10 |
Character |
|
4 |
Business Address |
40 |
Character |
|
5 |
Address 2 |
40 |
Character |
|
6 |
Address 3 |
40 |
Character |
|
7 |
City |
18 |
Character |
|
8 |
County |
12 |
Character |
|
9 |
State |
2 |
Character |
Standard 2-letter state
abbreviations |
10 |
Zip Code |
5 |
Numeric |
|
11 |
Zip Code Extension |
4 |
Numeric |
|
12 |
Business Phone Area Code |
3 |
Numeric |
|
13 |
Business Phone Number |
7 |
Numeric |
|
14 |
Resident Flag * |
1 |
Character |
"Y" if Oregon
resident; "N" if not |
15 |
License Number |
6 |
Numeric |
|
16 |
License Expiration Date |
8 |
Date |
Format as 'ccyy/mm/dd' |
|
License Class Flags: |
|
|
|
17 |
Life |
1 |
Character |
"X" if licensed
for this class |
18 |
Health |
1 |
Character |
"X" if licensed
for this class |
19 |
General Lines (GL) |
1 |
Character |
"X" if licensed
for this class |
20 |
Adjuster, General Lines |
1 |
Character |
"X" if licensed
for this class |
21 |
Adjuster, Health |
1 |
Character |
"X" if licensed
for this class |
22 |
Consultant, General Lines |
1 |
Character |
"X" if licensed
for this class |
23 |
Consultant, Health |
1 |
Character |
"X" if licensed
for this class |
24 |
Consultant, Life |
1 |
Character |
"X" if licensed
for this class |
25 |
Lender's Property |
1 |
Character |
"X" if licensed
for this GL subclass |
26 |
Mortgage |
1 |
Character |
"X" if licensed
for this GL subclass |
27 |
Livestock |
1 |
Character |
"X" if licensed
for this GL subclass |
28 |
Motor Veh. Mech. Breakdown |
1 |
Character |
"X" if licensed
for this GL subclass |
29 |
Motor Veh. Physical Damage |
1 |
Character |
"X" if licensed
for this GL subclass |
30 |
Travel |
1 |
Character |
"X" if licensed
for this Health subclass |
31 |
Baggage |
1 |
Character |
"X" if licensed
for this GL subclass |
32 |
Credit Involuntary Unemployment |
1 |
Character |
"X" if licensed
for this GL subclass |
33 |
Credit |
1 |
Character |
"X" if licensed
for this GL subclass |
34 |
Credit Life |
1 |
Character |
"X" if licensed
for this Life subclass |
35 |
Credit Health |
1 |
Character |
"X" if licensed
for this Health subclass |
36 |
Surplus Lines |
1 |
Character |
"X" if licensed
for this GL endorsement |
37 |
Filler |
1 |
Character |
"X" if licensed
for this GL endorsement |
38 |
Title |
1 |
Character |
"X" if licensed
for this GL subclass |
39 |
Variable Annuity |
1 |
Character |
"X" if licensed
for this Life endorsement |
40 |
Managing General Agent |
1 |
Character |
"X" if licensed
for this endorsement. |
41 |
Intermediary Broker |
1 |
Character |
"X" if licensed
for this endorsement. |
42 |
Intermediary Manager |
1 |
Character |
"X" if licensed
for this endorsement. |
43 |
Life Settlement Broker |
1 |
Character |
"X" if licensed for this special class. |
44 |
Property |
1 |
Character |
"X" if licensed for this special class. |
45 |
Casualty |
1 |
Character |
"X" if licensed for this special class. |
46 |
Personal Lines |
1 |
Character |
"X" if licensed for this special class. |
47 |
Variable Life |
1 |
Character |
"X" if licensed for this special class. |