1.0 After Hours Claim Form (AHCLMPCON) +
AHCLM.PCON N PCON After Hours Claim Form 1 0 0 1 N F JScript 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 M001007 20151127143006 SFE KENSURFACEPRO M 20151127150325 SFE KENSURFACEPRO M 0 0 0 AHCLM.PCON 1 1 F DIRTY.WF N 0 0 0 0 0 0 0 0 D 1 AHCLM.PCON 2 2 F STATE.WF N 0 1 0 0 0 0 0 0 D 2 AHCLM.PCON 3 3 F STATEX.WF N 0 1 0 0 0 0 0 0 D 3 AHCLM.PCON 4 4 F SENDHL.WF N 0 1 0 0 0 0 0 0 D 4 AHCLM.PCON 4 CONSENT.WF Yes 1 AHCLM.PCON 4 SENDHL.WF Yes < FREE 1 AHCLM.PCON LOCALITY Locality WRHN 1 AHCLM.PCON LOCATION Location of Code Procon 2 AHCLM.PCON LOCALITY WRHN AHCLM.PCON LOCATION Local AHCLM.PCON LOCATION Procon AHCLM.PCON LOCATION Test WF Web Form Generic Fields 0 20110131115827 SFE PROCON-KEN M 20140512164430 SFE PROCON2 M 0 DIRTY.WF WF Field to use to make form dirty * 20110131115907 SFE PROCON-KEN M 20140512164512 SFE PROCON2 M 0 SENDHL.WF WF Send to HealthLink * 20131014143220 SFE PROCON2 M 20131014143245 SFE PROCON2 M 0 STATE.WF WF Hidden field to store state * 20071107114241 NA NA M 20081007121843 NA NA M 0 STATEX.WF WF Hidden field to store eXtra state * 20081007121834 NA NA M 20081007122145 NA NA M 0 DIRTY.WF T 1 1 SENDHL.WF B 8 1 STATE.WF T 8 1 STATEX.WF T 8 1 SENDHL.WF Yes 1