![](media/image1.png)

###  Workers' Comp/CSLN

###  

###  Requirements and Functional Design

**SR 200405002**

**Version 1.4**

**February 28, 2006**

**[Workgroup Members]{.underline}**

> Andrea Giezentanner (Lead), DUN Anthony Jackson (Sponsor) STO
>
> Marc Bonge, STO Larry Kelly, STO
>
> Ron Smith, STO Beverly Walker, STO
>
> Linda Chesnutt, STO Ron Pendley, OKC
>
> Pauli Loeffly, OKC Henri Kirk, OKC
>
> Tina Saner, ARD Denise Beard, CPM
>
> Julie Daugherty, CPM Laurie Douglas, CPM
>
> Ken Elder, CPM Ron Williams, DSD
>
> Daniel Lindsey, DSD Vicki Cox, TUE
>
> Audrey Dobbins, CPM Lowery Sell, DSD

**Prepared by Enterprise Application Services, Data Services Division**

**[Differences from Version 1.3]{.underline}**

1.  LENA screen -- Valid values for release indicator changed

> from
>
> 'T' -- Temporary, 'P' -- Permanent
>
> to
>
> 'F' -- Full, 'P' - Partial

2.  Removed report CY738R

3.  Changed report name CY740R to CY740R01.

4.  CE264 Reports -- Added explanations of report fields

5.  CE264 extract file sent to STO office -- added format of file

6.  Separated Report list to 'User Reports' and 'System reports'

7.  Clarified Criteria information for jobs CY791W, CX794M, CX977M,
    CY720M, CY733D, CY741D

8.  Added system report CE264MER -- Receipt error report

9.  Nov 10, 2005 -- Added various clarifications in response to email

> From Douglas, Laurie **Sent:** Tuesday, November 08, 2005 2:48 PM
> **Subject:** W/C Team Report Questions

10. Nov 15, 2005 - Report CE264MER - Added errors on the report whereby
    a WC/ PI collection is received but there is no WC/PI Lien on the
    system for the given FGN.

11. Nov 15, 2005 - Reports CE264MC1, MC2, MC3 -- updated the sample
    report to not show pennies. It was Agrred by the PIT to elominate
    pennies to try to get all the columns on one page.

12. Nov 15, 2005 - CE264ML1 and CE264ML2 Reports - updated sample
    reports to show small differences in Format. In addition, wording
    has been added to explain that disribution codes A, B, C, D, which
    are fees,

> Are not included in collection totals.

13. Nov 15, 2005 -- Documents LWCC, LWCEA, LPI, LPIR -- Updated after
    Audrey's changes that fixed overlapping field problems. Updated the
    variable list.

14. Nov 16, 2005 -- Batch Procesing section - CX794M, CX977M, CY720M,
    CY733D --

> Added explantion thatr when WC claims come in from CSLN they will be
> listed
>
> As 'PI' in FCRL but 'Workers' Comp' in LENL

15. Nov 16, 2005 -- Report List section -- Added sample of CY720 reports
    (claim load reports)

> Added fields descriptions for CY720 reports

16. Nov 17, 2005 - Report List section -- Changed the sample of CY720
    reports (claim load reports)

> To show some claims created

17. Nov 21, 2005 -- Document section -- Added Lien release documents

> LPIR, LWCRL, Updated DocGen variables.
>
> 18\. Nov 22, 2005 - SCREENS OTHER THAN LIEN SCREENS section
>
> Added FCRWCC to show change in header wording
>
> and ability to switch to LENL using PF9

18. Nov 28, 2005 -- Document section -- Changed field name \@pilnm101rl@
    to

> To \@pilnml01rl@ (101 to L01)

19. Feb 15, 2006 -- Page 8 -- Removed duplicate copy of screen flow
    chart

20. Feb 15, 2006 -- Page 37 -- Job CY783D added to Batch section

21. Feb 15, 2006 -- Page 69 -- Report CY793D01 added to Report list and
    sample

22. Feb 15, 2006 -- Page 109 -- DocGen variables -- Insurer name and
    addresses are replaced by employer ones only if there is no name. If
    the address isn't good the insurer name and address still go on the

> Document, but the lien documents will go on the cy783d01 esception
> report and the I/A documents will pend.

23. Feb 23, 2006 -- page 93 -- Documents -- Note that if i/a documents

> Are printed through CSCD copies to employer, attorney and claimant
> will not be automatically printed.

24. Feb 23, 2006 -- Page 36 - Insurance Claim Lien Creation in batch:

> Criteria for whether liens are printed or only listed as needing
> review.

25\. Mar 28, 2006 -- Page 36 - Insurance Claim Lien Creation in batch:

> Explanation of addresses used if attorney or employer not given.

25. Sept 7, 2006 -- Page 62 - Workers' Comp collections for fgn\'s that
    don\'t have corresponding liens on LENL show on the report as \'NO
    ACTIVE LIEN FOUND\'.

26. Aug 13, 2007 -- Page 80 - added Data Element List

***[REQUIREMENTS]{.underline}***

# 

# Purpose

The requirements outline the over-all changes to OSIS that are needed to
effect the required enhancements to the workers' comp and personal
injury process.

####### *[Areas that need to be addressed:]{.underline}*

1.  Current worker's comp lien process - The process used currently to
    create liens for workers' comp claims is time consuming and
    cumbersome. It involves workers checking the WCCL screen for
    workers' comp cases, then switching to the FCRL, FCRLWCC, and FCRWCC
    screens to get the addresses of the claimant, insurance company, and
    attorneys, then using CSCD to generate the lien notices using those
    addresses. A more automated process is needed.

2.  CompSource -- The WCCL and FCRWCC screens now include workers' comp
    cases that originate from CompSource, the state's workers' comp
    insurance company. These cases may or may not end up in workers'
    comp court. However, the documents used to create the liens are
    specific to the workers' comp court. New lien documents are needed
    that can be used for cases that have not been contested.

3.  CSLN - We have entered into an agreement with CSLN (Child Support
    Lien Network) to send lists of our obligors against which they will
    match insurance claims from their insurance database. A process is
    needed to send them the data, receive their return data, and create
    liens for the matches they send us.

4.  Income Assignment -- Currently the only way to apply an income
    assignment on a workers' comp payment is to enter the insurance
    company as an employer on the APEU screen. The notices that get
    generated are the same as for a regular employer. Income assignments
    need to be initiated automatically when workers' comp records come
    in and the notices need to be tailored to the fact that the income
    is from workers' comp payments. In addition, the employer screens
    (APEU, etc.) need to either not list insurance companies or indicate
    that that is what they are*.* Income Assignments will not be used on
    Personal Injury liens created through the CSLN process.

5.  Tracking -- A readily available screen or report is needed that will
    track the number of workers' comp liens, personal injury liens, and
    income assignments filed, and the dollar amount return.

***[Proposed Changes:]{.underline}***

1\. When workers' comp records come in from outside sources (workers'
comp court, CompSource, lien network) perform the following automatic
functions for active IV-D cases:

a.  Create the following addresses on the OSIS address data base (ASI):

Workers' comp

06 -- AP WC INSURANCE CO.

07 - AP WC INSURANCE ATTORNEY (if given)

08 -- AP WC EMPLOYER

09 - AP WC ATTORNEY (if given)

Personal Injury

32 -- AP PI INSURANCE CO.

33 - AP PI CLAIMANT ATTORNEY (if given)

Only one set of addresses will exist for an NCP and insurance claim. If
the lien for the claim is released, the address will go to history.

b\. Create liens (accessible through transaction LENL) for NCP's with
arrears

greater than \$0.00.

c\. Create lien and entry of appearance notices and print at local
office. Local

office will mail copies to appropriate parties.

d\. Set income assignment triggers for I/A analyzer.

e\. If I/A analyzer determines it appropriate, income assignment notices
with

cover letter will be created and sent to insurance company, NCP,
attorneys,

and employer.

f\. Create a caselog entry for each lien created.

2.  Modify the Income assignment system to process income from Workers'
    Comp

settlements.

3.  Create lien screens similar to LENI/LENA for workers' comp and
    personal injury liens, and make them accessible from LENL.

4.  Create an online screen or a report showing collections from
    workers' comp or personal injury liens and income assignments by
    office and fgn.

5.  Create screens to enable workers to add workers' comp or personal
    injury cases manually, as a result of a contact. The screen would
    allow for the entry of insurance company, employer, and attorneys.
    The remaining processing (b through f of #1 above) would proceed
    automatically.

6.  Personal Injury -- FCRLPI and FCRPI screens will be developed to
    simulate the FCRLWCC and FCRWCC screens. New lien documents will be
    needed for these cases as well. The FCRL screen will be modified to
    include PI -- personal injury as one of its selections. Batch jobs
    will be created to send and receive data from CSLN.

7\. Add the following personal injury address types:

32 -- AP PI INSURANCE CO.

33 - AP PI CLAIMANT ATTORNEY

8\. Add 'PI' as a valid payment type. Due to our interface with CSLN we
will be

receiving Personal Injury claims. We want to track collections from PI
liens

separately from collections from WC liens.

# 

![](media/image2.wmf)

![](media/image3.wmf)

# FUNCTIONAL DESIGN

# PURPOSE

The functional design outlines the functional changes to OSIS that are
needed to effect the required enhancements to the workers' comp process
and for the new process of handling personal injury.

**[ONLINE PROCESSING]{.underline}**

**[LIEN SCREENS]{.underline}**

There are currently four types of liens:

> 1\. FIDM levies

2\. Property liens

3\. Workers' Comp liens -- liens on workers' comp insurance claim

settlements

4\. Personal Injury liens -- liens on personal injury insurance claim

settlements.

![](media/image4.wmf)

The above diagram shows the lien screen hierarchy. Access to any lien
starts with displaying the menu screen, followed by selecting the type
of lien desired. Selecting the lien type will display the list of all
liens of that type for the given NCP, showing all active liens first, in
most recent to oldest order, followed by all released liens, again in
most recent to oldest order.

Once on a list screen, a specific lien may be viewed or updated by
entering a 'i' or 'u' in the select field. A new lien may be added by
pressing the PF4 key. The appropriate detail screen will then be
displayed.

# LENL -- Lien menu screen

CE529S01 V01 F03 OKLAHOMA DEPT. OF HUMAN SERVICES DATE: 03/21/05

TRANID: LENL CSED LIENS TIME: 08:11:30

CASE NUMBER: 000077738001 NCP NAME: SMITH, JOE

==============================================================================

SELECT LIEN TYPE LIEN DATE SEQ LIEN INFORMATION

> \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

S FIDM 03/02/05 DAVES BANK

PROPERTY 03/02/05 002 LITTLE BLUE BICYCLE

WRKRS COMP 03/02/05 002 COMPSOURCE

PERS INJURY 12/12/04 002 TRAVELERS INDEMNITY OF ILL

CE529M06 - MOST RECENT LIENS DISPLAYED, MAKE SELECTION TO SHOW ALL
LIENS.

NEXT:

Access:

> LENL fgn
>
> LENL -- transaction name -- required
>
> fgn -- case number -- optional -- defaults to last used in OSIS
> screens

Process:

Enter an 's' in the select field to choose the type of lien desired.
This will

display the list screen for that type of lien.

**[LENFL]{.underline} -- FIDM lien list screen**

CX582S01 V01 F03 OKLAHOMA DEPT. OF HUMAN SERVICES DATE: 03/21/05

TRANID: LENFL CSED FIDM LIEN LIST TIME: 08:11:30

CASE NUMBER: 000077738001 NCP NAME: SMITH, JOE PAGE: 001

=== PF3-LENL ======= PF4-ADD FIDM LEVY
======================================

SELECT INSTITUTION FILING DATE RELEASE DATE

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

S DAVES BANK 03/02/05

NATIONAL SAVINGS AND LOAN 04/01/04 06/01/04

CX582M06 -- FIDM LEVIES DISPLAYED, PLEASE MAKE SELECTION.

NEXT:

Access:

> LENFL fgn
>
> LENLFD -- transaction name -- required
>
> fgn -- case number -- optional -- defaults to last used in OSIS
> screens
>
> or

Selected from the LENL screen

> Process:
>
> If there is more than one page press ENTER for next page.
>
> Enter an 's' in the select field to choose the type of lien desired.
> The appropriate detail screen will then be displayed.

**[LENFD]{.underline} -- FIDM lien detail screen**

CX583S01 V04 F01 OKLAHOMA DEPT. OF HUMAN SERVICES DATE: 07/13/05

TRANID: LENFD CSED FIDM LIEN DETAIL TIME: 08:04:03

CASE NUMBER: 000077738001 NCP NAME: HARGIS, DONALD

=== PF2-LENL ===== PF3-LENFL
=================================================

FI TIN: 122222222

DATE LIEN FILED: 070805

PROPERTY FILED ON: 01 SAVINGS

FI NAME: FIRST SAVINGS AND LOAN

STREET: 4545 N LINCOLN BLVD

CITY: OKLA CITY ST: OK ZIP: 73105

DATE LIEN RELEASED: 070905

NARRATIVE:

CX583M06 - CHANGE FIELDS TO MODIFY RECORD, HIT ENTER.

Access:

LENFD

LENFD -- transaction name -- required

The case number is the last used on OSIS screens.

The lien is latest FIDM lien for the given NCP.

or

Selected from the LENL screen

**[LENLPR]{.underline} -- Property lien list screen**

CY752S01 V01 F03 OKLAHOMA DEPT. OF HUMAN SERVICES DATE: 03/21/05

TRANID: LENLPR CSED PROPERTY LIEN LIST TIME: 08:11:30

CASE NUMBER: 000077738001 NCP NAME: SMITH, JOE PAGE: 001

=== PF3-LENL ======= PF4-ADD PROPERTY
LIEN=================================

SELECT(U,I) OBL JUDG SEQ FILING DATE COUNTY TYPE RLI RELEASE DATE

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

U 001 001 002 03/02/05 55 PL

LITTLE BLUE BICYCLE

001 001 001 03/02/05 55 RL

ALL PROPERTY

CY752M06 -- PROPERTY LIENS DISPLAYED, PLEASE MAKE SELECTION.

NEXT:

Access:

> LENLPR fgn
>
> LENLPR -- transaction name -- required
>
> fgn -- case number -- optional -- defaults to last used on OSIS
> screens
>
> or

Selected from the LENL screen

Fields:

Type -- PL -- Personal property Lien

RL -- Real property lien

Process:

If there is more than one page press ENTER for next page.

Enter an 'I' or 'U' in the select field to view or update the lien
desired.

Press the PF4 key to add a new lien. The appropriate detail screen will
then be

displayed.

**[LENI/U/A]{.underline} -- Property lien detail screen**

CE530S01 V12 F01 OKLAHOMA DEPT. OF HUMAN SERVICES DATE: 03/21/05

TRANID: LENU CSED PROPERTY LIEN UPDATE TIME: 10:04:10

CASE NUMBER: 000077738001 NCP NAME: SMITH, JOE

==== PF2-LENL ==== PF3-LENLPR==========================================

OBLG: 001 JUDG: 001

LIEN SEQ NUMBER: 002

DATE LIEN FILED: 030205 COUNTY FILED IN: 55 TYPE: PERSONAL PROPERTY

PROPERTY FILED ON: LITTLE BLUE BICYCLE

DATE LIEN RELEASED:

RELEASE INDICATOR :

NARRATIVE :

CE530M12 - PLEASE UPDATE LIEN DATA.

NEXT:

Access:

> LENI/U/A fgn oblseq jdgseq
>
> LENI/U/A -- transaction name -- required
>
> fgn -- case number -- optional -- defaults to last used in OSIS
> screens
>
> oblseq -- obligation sequence number -- optional -- defaults to first
> one
>
> jdgseq -- judgment sequence number -- optional -- defaults to first
> one
>
> or

Selected from the LENL screen

Fields:

Type -- Enter 'PL' or 'personal property' for personal property

Enter 'RL' or 'real property' for real property

Defaults to 'real property'

Release Indicator -- If release date exists, 'F' is full

'P' is partial

Defaults to 'P'

**[LENLWC]{.underline} -- Workers' Comp lien list screen**

CY734S01 V01 F03 OKLAHOMA DEPT. OF HUMAN SERVICES DATE: 03/21/05

TRANID: LENLWC CSED WORKERS COMP LIEN LIST TIME: 08:11:30

CASE NUMBER: 000077738001 NCP NAME: SMITH, JOE PAGE: 001

=== PF3-LENL ======= PF4-ADD WC LIEN
========================================

SELECT(U,I) SEQ INSURER FILING DATE RELEASE DATE

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

U 002 COMPSOURCE 03/02/05

001 WORKERS COMP COURT 04/01/04 12/01/04

CY734M06 -- WORKERS COMP LIENS DISPLAYED, PLEASE MAKE SELECTION.

Access:

LENLWC fgn

LENLWC -- transaction name -- required

fgn -- case number -- optional -- defaults to last used in OSIS screens

or

Selected from the LENL screen

Process:

If there is more than one page press ENTER for next page.

Enter an 'I' or 'U' in the select field to view or update the lien
desired.

Press the PF4 key to add a new lien. The appropriate detail screen will

then be displayed.

**[LENWCI/U/A]{.underline} -- Workers' Comp lien detail screen**

CY773S01 V04 F02 OKLAHOMA DEPT. OF HUMAN SERVICES DATE: 12/28/05

TRANID: LENWCU WORKERS COMP LIEN UPDATE TIME: 13:08:32

CASE NUMBER: 000077738001 NCP NAME: HARGIS, DONALD LIEN SEQ: 003

=== PF2-LENL ===== PF3-LENLWC ===== PF10-PRINT LIEN
==========================

INSURANCE CLAIM NBR: 158-TEST INS. CLAIM DATE: 12/05/05

WORK COMP COURT NBR: COURT CLAIM DATE: 12/05/05

DATE LIEN GENERATED: 12/27/05 INJURY DATE: 11/01/05 SOURCE: MANUAL

DATE FILED: 11/05/05 DATE LIEN RELEASED: MM/DD/YY PRINTED: MM/DD/YY

INSURER CONTACT:

INSURER FEIN: EMPLOYER FEIN: I/A ONLY

INSURER: ALL AMERICAN INSURANCE INC. EMPLOYER: MAKING WIDGETS INC.

\_ C/O JIM BOB, 4545 N LINCOLN BLVD \_ ATTN: PAYROLL, 4545 N LINCOLN
BLVD

OKC OK 731053418 OKC OK 731053418

PHONE: PHONE:

INS ATTY: SMITH, JOHN NCP ATTY: JONES, SALLY

\_ C/O J. SMITH, 4545 N LICOLN BLVD \_ ATTN: SALY JONES, 4545 N LINCOLN
B

OKC OK 731053418 OKC OK 731053418

PHONE: PHONE:

CY773M06 - CHANGE FIELDS TO MODIFY RECORD, HIT ENTER.

NEXT:

Access:

> LENWCA fgn
>
> fgn -- case number -- optional -- defaults to last used in OSIS
>
> screens.
>
> or PF4 key on LENLWC
>
> LENWCI/U -- Selected from LENLWC screen

Fields:

insurance claim number or court number or both required

injury date: required - valid non-future date -- mmddyy format

claim date: optional -- valid non-future date -- mmddyy format

date lien released: optional - valid date, can be future -- mmddyy
format

Entering a release date will cause all addresses to go to history

insurer fein -- optional -- 9 character numeric

employer fein -- optional -- 9 character numeric

names & addresses: insurer name and address required, others are
optional.

To add or update, enter 's' in the space beside the name and address

desired. The screen will switch to ADA or ADU depending on

whether you're adding or updating the name and address. ADA or

ADU will automatically switch back to this screen after the add or

update is completed.

Here is the ADA/ADU Screen when adding/changing a type 06 NCP Workers'
Compensation Insurance Co. Address. When entering this type of address,
the name will start in 'FIRST'and overflow to 'MIDDLE' and 'LAST'. The
Worker is responsible for any embedded spaces placed in the name. If the
Worker is updated or adding an address from one of the LENLscreens, (Ex:
LENWCU/A) the Address update transaction will automatically come up.
Once the address has been added or modified successfully, if the ADA/ADU
was initiated from LENWCU/A, the screen will return to the calling
screen.

**[LENLPI]{.underline} -- Personal injury lien list screen**

CY735S01 V01 F03 OKLAHOMA DEPT. OF HUMAN SERVICES DATE: 03/21/05

TRANID: LENLPI CSED PERSONAL INJURY LIEN LIST TIME: 08:11:30

CASE NUMBER: 000077738001 NCP NAME: SMITH, JOE PAGE: 001

=== PF3-LENL ======= PF4-ADD PI LIEN
=======================================

SELECT(U,I) SEQ INSURER FILING DATE RELEASE DATE

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

U 002 TRAVLEERS INDEMNITY OF ILL 12/12/04

001 HARTFORD CASUALTY 04/01/04 12/01/04

CY735M06 -- PERSONAL INJURY LIENS DISPLAYED, PLEASE MAKE SELECTION.

NEXT:

Access:

> LENLPI fgn
>
> LENLPI -- transaction name -- required
>
> fgn -- case number -- optional -- defaults to last used in OSIS
> screens
>
> or
>
> Selected from the LENLPI screen

Process:

If more there is more than one page press ENTER for next page.

Enter an 'I' or 'U' in the select field to view or update the lien
desired. Press the PF4 key to add a new lien. The appropriate detail
screen will then be

displayed.

**[LENPII/U/A]{.underline} -- Personal Injury detail screen**

CY777S01 V04 F02 OKLAHOMA DEPT. OF HUMAN SERVICES DATE: 12/28/05

TRANID: LENPIU PERSONAL INJURY LIEN UPDATE TIME: 13:10:50

CASE NUMBER: 000077738001 NCP NAME: HARGIS, DONALD LIEN SEQ: 001

=== PF2-LENL ===== PF3-LENLPI ===== PF10-PRINT LIEN
==========================

INSURANCE CLAIM NBR: 12345-TEST INS. CLAIM DATE: 12/05/05

DATE LIEN GENERATED: 12/27/05 INJURY DATE: 11/01/05

DATE LIEN FILED: 12/11/05 DATE LIEN RELEASED: MM/DD/YY

INSURER FEIN: SOURCE: MANUAL

FAX: A/C NBR DATE LIEN PRINTED: MM/DD/YY

EMAIL:

CONTACT:

INSURER: ALL AMERICAN INSURANCE NCP ATTY: SMITH, JOHN

\_ C/O JIM BEAM, 4545 N LINCOLN BLVD \_ 4545 N LINCOLN BLVD

OKC OK 731053418 OKC OK 731053418

PHONE: PHONE:

CY777M06 - CHANGE FIELDS TO MODIFY RECORD, HIT ENTER.

NEXT:

Access:

> LENPIA fgn
>
> fgn -- case number -- optional -- defaults to last used in OSIS
>
> screens
>
> or PF4 key on LENLPI
>
> LENPII/U -- Selected from LENLPI screen

or

Selected from the LENLPI screen

Fields edits:

insurance claim number - required

injury date: required - valid non-future date -- mmddyy format

claim date: optional -- valid non-future date -- mmddyy format

date lien released: optional - valid date, can be future -- mmddyy or

mm/dd/yy. Entering a release date will cause all addresses to go to

history

insurer fein -- optional -- 9 character numeric

names & addresses: insurer name and address required, others are
optional.

To add or update, enter 's' in the space beside the name and address

desired. The screen will switch to ADA or ADU depending on

whether you're adding or updating the name and address. ADA or

ADU will automatically switch back to this screen after the add or

update is completed.

**[SCREENS OTHER THAN LIEN SCREENS]{.underline}**

**[ADA -- Address Add Screen]{.underline}**

Add the capability to add type 06, 07, 08, 09, 32, and 33, names and
addresses for

an NCP and insurance claim. Add edits to make sure that the insurance
claim exists

(as seen on LENWCI or LENPII).

To add an address enter:

ADA address type ncp number claim sequence number

**[ADU -- Address Update Screen]{.underline}**

Add the capability to modify type 06, 07, 08, 09, 32, and 33 names and
addresses

for an NCP and insurance claim.

To update address enter:

ADU address type ncp number claim sequence number

**[ADI -- Address Detail Inquiry]{.underline}**

Add the capability to display type 06, 07, 08, 09, 32, and 33 names and
addresses

for an NCP and insurance claim.

To inquire address enter:

ADI address type ncp number claim sequence number

**[ASL -- Address List by Key]{.underline}**

Add the capability to display type 06, 07, 08, 09, 32, and 33 names and
addresses

for an NCP.

To run the transaction use the AP format:

ASL Axxxxxxxxx

Where xxxxxxxxx is the ncp number

***[ASA -- Case Address Listing]{.underline}***

Add the capability to display type 06, 07, 08, 09, 32, and 33 names and
addresses

for an NCP or FGN.

To run the transaction use either the fgn or ncp format:

Fgn format

ASA fgn

Ncp format

ASA Ap number

**[ATL -- Address Type Selection List]{.underline}**

Add types 32, and 33 to list

**[FCRL -- Locate List Screen]{.underline}**

Add PI line

CX474S01 V21 F01 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 02/15/06

TRANID: FCRL FCR LOCATE SUMMARY INFORMATION TIME: 10:49:26

FGN: 000236447001 WRKER: U64228 IV-D STATUS: 02 IVD: Y SSN: 442584989

NAME: MARTY D GARRISON NCP DCN: 008422407

========================= F3-MANUAL LOCATE SCREEN
============================

CODE LOCATE RESPONSE SOURCE RESPONSE DATE DATE OF DATA

NH NEW HIRE (STATE AND NATIONAL)

QW QUARTERLY WAGES 04/11/05 10/01/04

UI UNEMPLOYMENT INSURANCE

DEF DEPARTMENT OF DEFENSE

FBI FEDERAL BUREAU OF INVESTIGATION

FED FEDERAL AGENCIES

IRS INTERNAL REVENUE SERVICE

SSA SOCIAL SECURITY ADMINISTRATION

VA VETERANS ADMINISTRATION

OS FCR TO FCR LOCATE MATCH

FIDM FINANCIAL INSTITUTION DATA MATCH 09/20/01 04/01/00

1099 INTERNAL REVENUE SERVICE 1099

WCC WC COURT, COMPSOURCE - WC CLAIMS

PI CHILD SUPPORT LIEN NETWORK - WC/PI CLMS 12/15/05 10/22/03

SELECT: F5-RESET FCR FLAG

CX474M24 - PRESS ENTER KEY FOR CP INFORMATION.

NEXT:

SYSTEM MESSAGE IN IMSTEST

**[FCRLPI -- Locate Personal Injury List Screen]{.underline}**

*Proposed new screen*

CY736S01 V01 F01 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 07/15/05

TRANID: FCRLPI PERSONAL INJURY LOCATE RESPONSE LIST TIME: 16:33:02

FGN: 000506830001 WORKER: U67254 IV-D STATUS: 02 IVD: Y SSN : 999999999

NAME: SHANNON DAUGHTRY NCP DCN : 010311075

=====================================================================PAGE:
001

DATE DATE CLAIM DATA

SEL INJURY RECEIVED NUMBER INSURANCE COMPANY SOURCE

03/03/05 12/05/04 2652571 CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257H CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257I CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257J CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257K CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257L CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257M CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257N CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 2652579 CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257A CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257B CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257C CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257D CINCINNATI INSURANCE C CSLN

03/03/05 12/05/03 265257E CINCINNATI INSURANCE C CSLN

CY736M07 - PRESS \<PF8\> TO VIEW ADDITIONAL RESPONSES

NEXT: F1-1ST PAGE F2-GO TO FCRL

SYSTEM MESSAGE IN IMSTEST

**[FCRPI -- Personal injury Locate Screen]{.underline}**

The FCRPI screen displays detailed information about Personal Injury and
Workers Comp

records from CSLN that have been matched by SSN to the OSIS NCP's. The
information is a combination of data supplied by DHS OSIS and
information supplied by the CSLN Network.

This screen is reached by placing a \'S\' next to the item presented on
the

FCRLPI screen.

*Proposed new screen*

CY737S01 V02 F02 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 02/15/06

TRANID: FCRPI CHILD SUPPORT LIEN NETWORK LOCATE INFO TIME: 10:50:05

FGN: 000236447001 WRKER: U64228 IV-D STATUS: 02 IVD: Y SSN : 442584989

NAME: MARTY D GARRISON NCP DCN : 008422407

=====================================================================PAGE:
001

CLAIM NBR: WW0085707103 WC/PI: PI M/F: MATCHED SSN :

CLAIMANT : MARTY D GARRISON DATE RECEIVED: 12/15/05

1119 CRESTVIEW HMN PH: - DATE INJURED : 10/22/03

BUS PH: - DATE OF BIRTH: 12/03/67

ELK CITY, OK 73644-2814 CLAIMANT FEIN: 922047700

DRIVER\'S LIC:

MED/PROF LIC: OCCUP:

INSURER: MERCURY CASUALTY COMPANY

OFFICE NAME:

SAN GABRIEL BR #08

PO BOX 1150 CONTACT: Trent Hill

BREA, CA 92822 PHONE: 916 636-1534

FAX : 916 861-3894

CY737M05 - END OF DATA

NEXT: F2-FCRL F3-FCRLPI F9-LENL

SYSTEM MESSAGE IN IMSTEST

**[FCRWCC -- WC COURT/COMPSOURCE LOCATE INFORMATION --
Modifications]{.underline}**

Header changed to denote source of claims.

PF9 key added to give ability to switch to LRNL screen

CX798S01 V03 F04 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 11/22/05

TRANID: FCRWCC WC COURT/COMPSOURCE LOCATE INFORMATION TIME:

FGN: 000060747001 WRKER: U65236 IV-D STATUS: 08 IVD: Y SSN: 441568877

NAME: LINDELL K BERRYHILL NCP DCN: 000370987

=====================================================================PAGE:
001

NAME RETURNED: BERRYHILL, LINDELL KEITH CLAIM: 2005-02045K

RESPONDENT: KIER CCC USA FILED DATE: 02/15/05 INJURY DATE: 06/14/04

ADD TYPE: CLAIMANT ADD TYPE: RESPONDENT FEIN:

323 E CLOUD ST PO BOX 1629

BRISTOW, OK 74010 PONCA CITY, OK 74601

INSURER: ZURICH AMERICAN INSURANCE COMPANY ADD TYPE: CLAIMANT ATTORNEY

1400 AMERICAN LANE BOETTCHER, THOMAS D

4111 S DARLINGTON STE 1075

SCHAUMBURG, IL 60196 TULSA, OK 74135-6352

======================= MATCHED PERSON INFORMATION
==========================

NAME DOES MATCH

DATA SOURCE NAME: BERRYHILL, LINDELL KEITH MATCHED SSN: 441568877

TOT LUMP SUM: TOT ACCRUAL: TOT REGULAR:

IA TO RESPONDENT: DATE: 00/00/00 IA TO INSURER? DATE: 00/00/00

LENA SHOWS WC LIEN? DATE LIEN FILED: 00/00/00

CX798M05 - END OF DATA

NEXT: F2-FCRL F3-FCRLWCC F9-LENL

SYSTEM MESSAGE IN IMSTEST

**[IAI -- Income Assignment Inquiry Screen]{.underline}**

**Current Screen**

CX765S01 V02 F01 OKLAHOMA DEPT. OF HUMAN SERVICES DATE 08/13/04 PG 1

TRANID: IAINEW INCOME ASSIGNMENT INQUIRY TIME 10:38:05

FGN: 0203116002 WRKER: U56999 FULLER, SHERRY L OFFCE: MUS MUSKOGEE

IV-D STATUS: 02 PRTY: 2 STATUS DT: 08/28/98 CLOSURE REASON: PEND UPDT: N

AP DCN: 007185955 NAME: WARREN S WALKER AP CLOSURE REASON:

=========================================== PF5 HISTORY == PF6 NCP LEVEL
=====

CURRENT INCOME ASSIGNMENT INFORMATION

ORDER NO. IA? ORDER NO. IA? ORDER NO. IA? ORDER NO. IA?

JFP-99-1796 Y JFP-99-1796 Y

INCOME ASSIGNMENT ISSUE DATE: 01/30/02 MED5 ISSUE DATE:

DOCUMENT TYPE: INITIAL

CURRENT SUPPORT AMOUNT: 182.27

PAST DUE AMOUNT: 25.00

SPOUSAL AMOUNT: .00

MEDICAL AMOUNT: .00

OTHER AMOUNT: .00

EMPLOYER\'S SEQUENCE NO. AND NAME: 008 US ARMY RESERVE

==============================================================================

CX765M16 - PRESS ENTER FOR NEXT EMPLOYER

NEXT

SYSTEM MESSAGE IN IMSTEST

**Proposed changes**

1.  If the income source is a workers' comp settlement, an

> example of the message displayed would be:
>
> 'wrk comp - lien seq and ins co name: 001 abc
>
> insurance co.'
>
> 2\. Change CX765M16 message to:
>
> CX765M16 - press enter for next employer or other
>
> source of income

The design changes are reflected below for the IAI screens. In this
example,

the case has both Employer NOIA and a Workers' Comp. Claim NOIA. Note
the

screen will adjust the proper headings etc. If only Employer NOIA's are
present,

the screen will appear and operate as before.

CX765S01 VC04 F02 OKLAHOMA DEPT. OF HUMAN SERVICES DATE 08/17/05 PG 1

TRANID: IAINEW INCOME ASSIGNMENT INQUIRY TIME 12:46:47

FGN: 0028921001 WRKER: U66656 HILL, JOE L OFFCE: OKB MIDWEST CITY

IV-D STATUS: 02 PRTY: 2 STATUS DT: 12/17/93 CLOSURE REASON: PEND UPDT: N

AP DCN: 002732901 NAME: KENNETH G PRICE JR AP CLOSURE REASON:

=========================================== PF5 HISTORY == PF6 NCP LEVEL
=====

CURRENT INCOME ASSIGNMENT INFORMATION

ORDER NO. IA? ORDER NO. IA? ORDER NO. IA? ORDER NO. IA?

FD-94-1719-2 Y

INCOME ASSIGNMENT ISSUE DATE: 08/13/02 MED5 ISSUE DATE:

DOCUMENT TYPE: INITIAL

CURRENT SUPPORT AMOUNT: 159.00

PAST DUE AMOUNT: 50.00

SPOUSAL AMOUNT: .00

MEDICAL AMOUNT: .00

OTHER AMOUNT: .00

EMPLOYER\'S SEQUENCE NO. AND NAME: 008 BLUE BELL CREAMERIES

==============================================================================

CX765M27 - END OF EMPLOYERS, PRESS ENTER FOR WC CLAIM

NEXT

Note that changes in headings and program messages are appropriate
because

an Amended WC NOIA also belongs to this case. As much of the name of the

Insurer will be displayed. It is possible for the name to exceed the
allowed

space.

**[*IAIH --* I/A Inquiry History Screen]{.underline}**

Same changes as IAI, above

**[IAMI -- I/A Modified Notice Inquiry]{.underline}**

The following four screens will show how the IA Modified Notice Inquiry
Screens

will appear when an Office code has Workers' Comp IA's. \*Please note
that the title

'EMPLOYER SEQ/NAME' will change to 'WC CLAIM SEQ/NAME' once the

WC Amended/Terminated IA's are displayed.

CX758S01 V05 F03 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/08/05

TRANID: IAMINEW INCOME ASSIGNMENT MODIFIED NOTICE INQUIRY TIME: 08:28:05

OFFICE: CHI CHICKASHA PAGE: 01

===============================================================================

CURR PAST TOTAL

SEL REA NCP NAME CP SEQ DUE/MO DUE/MO DUE/MO

DOC EMPLOYER SEQ/NAME EMP FEIN IA SEND DT FGN AN? M5?

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

S TONY ELLIS 001 0.00 25.00 25.00

MOD 005 CONTRACT MFGS INC 02/19/03 000004298003

S TONY ELLIS 001 0.00 25.00 25.00

MOD 005 CONTRACT MFGS INC 06/06/03 000004298001

S OSCAR RAY 001 270.06 50.00 320.06

MOD 004 HELMERICH & PAYNE IN 010439412 06/12/03 000406060001

S CURTIS REECE 001 393.67 50.00 443.67

MOD 005 UNIT CORPORATION 012612364 12/22/03 000365116001

S KLAY HUGHES 001 002 203.07 0.00 203.07

MOD 011 SIGHT N SOUND 02/17/04 000236872001

CX758M02 - PRESS \<ENTER\> TO CONTINUE

NEXT:

CX758S01 V05 F03 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/08/05

TRANID: IAMINEW INCOME ASSIGNMENT MODIFIED NOTICE INQUIRY TIME: 08:29:53

OFFICE: CHI CHICKASHA PAGE: 05

===============================================================================

CURR PAST TOTAL

SEL REA NCP NAME CP SEQ DUE/MO DUE/MO DUE/MO

DOC EMPLOYER SEQ/NAME EMP FEIN IA SEND DT FGN AN? M5?

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

S CURTIS REECE 001 393.67 0.00 393.67

MOD 005 UNIT CORPORATION 012612364 05/06/05 000365116001

S DRUIE DUTTON 001 262.75 0.00 262.75

MOD 003 CHENEGA TECHNICAL 05/06/05 000444300001

CX758M08 - END OF EMPLOYER NOIA\'S, PRESS \<ENTER\> FOR WC CLAIM NOIA\'S

NEXT:

CX758S01 V05 F03 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/08/05

TRANID: IAMINEW INCOME ASSIGNMENT MODIFIED NOTICE INQUIRY TIME: 08:31:03

OFFICE: CHI CHICKASHA PAGE: 06

===============================================================================

CURR PAST TOTAL

SEL REA NCP NAME CP SEQ DUE/MO DUE/MO DUE/MO

DOC WC CLAIM SEQ/NAME WC FEIN IA SEND DT FGN AN? M5?

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

S KENNETH PRICE 001 159.00 50.00 209.00

MOD 001 FIDELITY & GUARANTY INSUR 08/10/05 000028921001

S MARION BURTON 001 119.35 0.00 119.35

MOD 001 COMPSOURCE OKLAHOMA 08/10/05 000117231002

S JAMES COLBERT 001 109.00 50.00 159.00

MOD 001 COMPSOURCE OKLAHOMA 08/10/05 000122395001

S LARRY KNOWLES 001 341.00 0.00 341.00

MOD 001 LIBERTY MUTUAL FIRE INSUR 08/10/05 000122793002

S KENNETH STRAIN 001 248.80 40.00 288.80

MOD 002 TEST INSURER 2 08/10/05 000203328002

CX758M09 - PRESS \<ENTER\> TO CONTINUE

NEXT:

CX758S01 V05 F03 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/08/05

TRANID: IAMINEW INCOME ASSIGNMENT MODIFIED NOTICE INQUIRY TIME: 08:32:06

OFFICE: CHI CHICKASHA PAGE: 09

===============================================================================

CURR PAST TOTAL

SEL REA NCP NAME CP SEQ DUE/MO DUE/MO DUE/MO

DOC WC CLAIM SEQ/NAME WC FEIN IA SEND DT FGN AN? M5?

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

S DANIEL CRADDOCK 001 251.00 100.00 351.00

MOD 001 COMPSOURCE OKLAHOMA 08/10/05 000500921001

S ANDREA RICKS 001 153.50 50.00 203.50

TERM 001 COMPSOURCE OKLAHOMA 08/10/05 000381250001

S TIMMY MCMURPHY 001 550.00 0.00 550.00

TERM 001 COMPSOURCE OKLAHOMA 08/10/05 000498376001

S JESUS REYES 001 0.00 43.39 43.39

TERM 001 FIDELITY & GUARANTY INSUR 08/10/05 000507787001

CX758M10 - END WC CLAIM NOIA\'S, PRESS \<ENTER\> FOR EMPLOYER NOIA\'S

NEXT:

**[IAMU -- I/A Modified Notice Update]{.underline}**

This screen now will interface with new WCNOIA transaction IAMWCU.
\<PF5\> can be

pressed at any time to do the message switch. There are no changes in
how the

screen does the 'Pull' update.

CX760S01 V06 F02 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/25/05

TRANID: IAMUNEW INCOME ASSIGNMENT MODIFIED NOTICE INQUIRY TIME: 12:56:31

OFFICE: DUN DUNCAN PAGE: 01

====================\> OFFICE HAS WCNOIA\'S - PF5 - IAMWCU
\<=====================

CURR PAST TOTAL

SEL REA NCP NAME CP SEQ DUE/MO DUE/MO DUE/MO

DOC EMPLOYER SEQ/NAME EMP FEIN IA SEND DT FGN AN?

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

P 11 TERRY STEPHENS 001 150.00 50.00 300.00

MOD 002 BEN MILAM HEATING A/ 012119674 08/29/05 000000951001

S TERRY STEPHENS 001 150.00 50.00 300.00

MOD 003 BEN MILAM HEAT AIR & 731544624 08/29/05 000000951001

S MICHAEL MERRIAM 001 200.00 50.00 350.00

MOD 004 AMERICAN TECHNOLOGY 411735555 08/29/05 000001367001

S RUFUS HAMILTON 001 253.60 378.43 732.03

MOD 009 BEST BUYS STORES LP 411822872 08/29/05 000014031002

P 10 RUFUS HAMILTON 001 253.60 378.43 732.03

MOD 011 US PROP & BUS FISC O 340727612 08/29/05 000014031002

SEL OPTION: P = PULL

CX760M05 - UPDATE SUCCESSFUL - PRESS ENTER TO CONTINUE.

NEXT:

1.  

**[IANI -- I/A New Notice Inquiry]{.underline}**

The following four screens will show how the IA New Notice Inquiry
Screens

Will appear when an Office code has Workers' Comp IA's. \*Please note
that the title

'EMPLOYER SEQ/NAME' will change to 'WC CLAIM SEQ/NAME' once the

WC IA's are displayed.

CX757S01 V05 F03 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/05/05

TRANID: IANINEW INCOME ASSIGNMENT NEW NOTICE INQUIRY TIME: 09:03:29

OFFICE: CHI CHICKASHA PAGE: 01

===============================================================================

CURR PAST TOTAL

SEL REA NCP NAME CP SEQ DUE/MO DUE/MO DUE/MO

EMPLOYER SEQ/NAME EMP FEIN IA SEND DT FGN AN? M5?

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

S CARL CRUZ 001 002 003 426.00 24.00 450.00

004 CC SS INC STANLEY 591912973 06/28/02 000022802001

S RONNIE COY 001 300.30 10.00 310.30

003 SOCIAL SECURITY ADMI 05/14/02 000276142001

S CHRISTO HANEY 001 177.90 50.00 227.90

007 KICKAPOO TRIBE OF OK 011496642 04/18/01 000270322001

S RICHARD HOVIS 001 122.50 0.00 122.50

002 MANPOWER INTERNATION 391836586 12/28/01 000269124001

S LARRY KNOWLES 001 341.00 0.00 341.00

009 LIBERTY MUTUAL GROUP 08/01/05 000122793002

CX757M02 - PRESS \<ENTER\> TO CONTINUE

NEXT:

CX757S01 V05 F03 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/05/05

TRANID: IANINEW INCOME ASSIGNMENT NEW NOTICE INQUIRY TIME: 09:30:34

OFFICE: CHI CHICKASHA PAGE: 03

===============================================================================

CURR PAST TOTAL

SEL REA NCP NAME CP SEQ DUE/MO DUE/MO DUE/MO

EMPLOYER SEQ/NAME EMP FEIN IA SEND DT FGN AN? M5?

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

S CODY MOSER 001 380.82 300.27 681.09

009 UNIT DRILLING UTI 731066168 03/15/05 000376213002

S SAMMY WILLIAMS 001 002 198.72 50.00 248.72

012 SWIFT TRANSPORTATION 860916897 07/12/05 000232253001

S SAMMY WILLIAMS 001 125.00 20.00 145.00

012 SWIFT TRANSPORTATION 860916897 07/12/05 000232253002

CX757M08 - END OF EMPLOYER NOIA\'S, PRESS \<ENTER\> FOR WC CLAIM NOIA\'S

NEXT:

CX757S01 V05 F03 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/05/05

TRANID: IANINEW INCOME ASSIGNMENT NEW NOTICE INQUIRY TIME: 09:31:31

OFFICE: CHI CHICKASHA PAGE: 04

===============================================================================

CURR PAST TOTAL

SEL REA NCP NAME CP SEQ DUE/MO DUE/MO DUE/MO

WC CLAIM SEQ/NAME WC FEIN IA SEND DT FGN AN? M5?

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

S MICHAEL MCGEE 001 108.50 52.13 160.63

001 TRAVELERS PROPERTY & CASU 08/01/05 000109621001

S RICHARD WHEELER 001 195.00 90.00 285.00

001 ALL INSURANCE CO. OF OKLA 123456789 08/09/05 000498839001

S ELLOID CARRISALEZ 001 288.16 0.00 388.16

001 ALL STATE OF OKLAHOMA AT 770707096 08/09/05 000007747001

S EDWARD OAKS 001 449.20 50.00 599.20

001 ALL OKLAHOMA INSURANCE CO 0129874 08/09/05 000123070001

S ANDREA RICKS 001 153.50 50.00 203.50

001 COMPSOURCE OKLAHOMA COMPA 123456789 08/09/05 000381250001

CX757M02 - PRESS \<ENTER\> TO CONTINUE

NEXT:

**[IANU -- I/A New(Initial) Notice Update]{.underline}**

There is no change to this program with respect to how it updates. What
is different, is that the program also shows that Workers' Compensation
WC NOIA's have also been generated for the CHI Office. Note the first
Heading Line. If the program does not have any WC NOIA's, the heading
line will NOT show the message below. Here the Worker may choose to
Press \<PF5\> to message switch to new transaction IANWCU in order to
Pull WC NOIA's.

CX759S01 V06 F02 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/19/05

TRANID: IANUNEW INCOME ASSIGNMENT NEW NOTICE UPDATE TIME: 09:51:01

OFFICE: CHI CHICKASHA PAGE: 03

====================\> OFFICE HAS WCNOIA\'S - PF5 - IANWCU
\<=====================

CURR PAST TOTAL

SEL REA NCP NAME CP SEQ DUE/MO DUE/MO DUE/MO

EMPLOYER SEQ/NAME EMP FEIN IA SEND DT FGN AN?

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

P 10 GAUDALU RAMOS 001 0.00 27.01 27.01

003 FORGE INDUSTRIAL 363996991 08/23/05 000000858001

S TERRY STEPHENS 001 150.00 50.00 200.00

003 BEN MILAM HEAT AIR & 731544624 08/23/05 000000951001

S MICHAEL MERRIAM 001 200.00 50.00 250.00

004 AMERICAN TECHNOLOGY 411735555 08/23/05 000001367001

S CLYDE HARRIS 001 350.00 50.00 400.00

009 RENT A CENTER 481024367 08/23/05 000264431001

S CLYDE HARRIS 001 350.00 50.00 400.00

010 CUSTOMER\'S CHOICE 731440644 08/23/05 000264431001

SEL OPTION: P = PULL

CX759M05 - UPDATE SUCCESSFUL - PRESS ENTER TO CONTINUE.

NEXT:

New transaction IANWCU will allow the Worker to Pull Workers'
Compensation WCNOIA's by office just as IANU does for Employer NOIA's.
Note the Hot key back to transaction IANUNEW. This screen can also be
initiated by keying 'IANWCU \<Office\>'.

CY814S01 V01 F01 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/22/05

TRANID: IANWCU WORKERS\' COMPENSATION NEW NOTICE UPDATE TIME: 09:04:35

OFFICE: OKC NORTH PAGE: 01

====================\> RETURN TO EMPLOYER - NOIA PF5 IANU
\<=====================

CURR PAST TOTAL

SEL REA NCP NAME CP SEQ DUE/MO DUE/MO DUE/MO

WC CLAIM SEQ/NAME WC FEIN IA SEND DT FGN AN?

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

P 10 JOHN ADAMS 001 0.00 50.00 50.00

002 COMPSOURCE OKLAHOMA 08/23/05 000018603002

P 10 JOHN ADAMS 001 0.00 50.00 50.00

001 COMPSOURCE OKLAHOMA 08/23/05 000018603002

S KENNETH PRICE 001 213.00 100.00 313.00

001 FIDELITY & GUARANTY INSUR 08/23/05 000028921002

P 10 LARRY KNOWLES 001 341.00 0.00 341.00

001 LIBERTY MUTUAL FIRE INSUR 08/23/05 000122793002

SEL OPTION: P = PULL

CY814M02 - UPDATE SUCCESSFUL - END OF DATA FOR THIS OFFICE

NEXT:

**[CIRI -- CSED Information & Referral Inquiry]{.underline}**

**Current Screen (format 4)**

CY043S03 V38 F02 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/13/04 PG: 05

TRANID: CIRI CSED INFORMATION & REFERRAL INQUIRY TIME: 13:29:51

FGN: 000203116002 WRKER U56999 FULLER, SHERRY L OFFICE: MUS MUSKOGEE

IV-D STATUS: 02 PRTY: 2 STATUS DT: 08/28/98 CLOSE RSN: PU: N TK: N

NCP NAME: WARREN WALKER NCP DCN: 007185955 NCP CLOSE RSN:

=========================================== IVD: Y PASS: N ==========
FVS: ==

IA ISSUE DATE: 01/30/02 IA TYPE: I INITIAL WAGE TYPE:

EMPLOYER SEQ: 008 MED5 SENT: DATE:

FEIN: 351819323 SEIN:

EMPLOYER: US ARMY RESERVE EMP STAT: V STAT DATE: 11/30/01 TPL: N

EMP ADDR: ATTN DFAS CL L PO BOX 998002 CLEVELAND OH 44199-8002

IA AMOUNTS:

CS AMT PAST DUE AMT SPOUSAL AMT MED AMT OTH AMT

182.27 25.00 0.00 0.00 0.00

TOTAL IA AMT: 207.27

NEXT: =

**Proposed change (format 4)**

If the income source is a workers' comp settlement, the screen would
display 'Workers' Comp' instead of 'employer'. Lien info will be added
after the I/A lines, as such:

CY043S03 V38 F02 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 08/13/04 PG: 05

TRANID: CIRI CSED INFORMATION & REFERRAL INQUIRY TIME: 13:29:51

FGN: 000203116002 WRKER U56999 FULLER, SHERRY L OFFICE: MUS MUSKOGEE

IV-D STATUS: 02 PRTY: 2 STATUS DT: 08/28/98 CLOSE RSN: PU: N TK: N

NCP NAME: WARREN WALKER NCP DCN: 007185955 NCP CLOSE RSN:

=========================================== IVD: Y PASS: N ==========
FVS: ==

IA ISSUE DATE: 01/30/02 IA TYPE: I INITIAL WAGE TYPE:

WORKERS' COMP SEQ: 001

INSURER: ABC INSURANCE CO.

1512 MAIN ST. OKC, OK 73445

IA AMOUNTS:

CS AMT PAST DUE AMT SPOUSAL AMT MED AMT OTH AMT

182.27 25.00 0.00 0.00 0.00

TOTAL IA AMT: 207.27

LIENS: FIDM 04/03/03 BANK OF AMERICA

WORKERS COMP 05/03/04 002 AMERICAN FIDELITY INS

05/02/02 001 COMPSOURCE OF OKLAHOMA

PERSONAL INJ 05/04/04 001 CSLN NETWORK

NEXT: =

**[BATCH PROCESSING]{.underline}**

***[CY691W]{.underline} -- Personal Injury upload to CSLN***

**Current processing**

> None -- this is a new program.

**Proposed Change**

The CSLN Network will be uploaded with all NCPs in arrears with \$500 or
more, through an FTP process. Job to be run bi-monthly. Matched records
with be sent back by the CSLN Network for possible lien creation on the
OSIS system.

Bi-weekly Batch Job pulls NCP's meeting specific criteria and having
arrears greater than or equal to \$500. Main processing is through the
CE001.CSCASESG, by NCP. Each FGN relating to an NCP is read and arrears
calculated. Those sent to CSLN thru the FTP process will be placed on
the server : S94x01\\Csed\\CSED State Office\\csln_ok.txt. Any matches
found by CSLN will be sent back with claims to be loaded to the OSIS
system and processed by the download program CY733. The FTP file which
is created by CY691W will be overwritten every two weeks. Could easily
by run weekly without any difference in processing. CSLN will use the
APPEND feature to FTP matches to OSIS to the text file OKFeed.txt. This
text file OKFeed.txt should be deleted after successful processing of
the CY733 download process. The append feature will create a new file
with the same name, or mod onto the existing file. This will allow us to
capture and retain any records which CSLN returns to OSIS, without
overlaying the file and causing us to lose valuable information. There
will only be one NCP/SSN per claim, but since OSIS may contain multiple
SSN's for an NCP, there may be more than one record sent. One for each
verified SSN or one for each SSN if there are none verified on OSIS.

The job will produce an exception report. CY691R01 on RDS, and the NCP
Arrearage file which is FTP'd to S94x01\\Csed\\CSED State
Office\\csln_ok.txt.

> The criteria for creating the CSLN text file and the creation of the
> exception report is as follows:

A.  ***(FTP'd TEXT FILE)*** File sent to CSLN is by NCP and not by FGN,
    duplicate NCP's may be written if an NCP has more than one SSN and
    the NCP passes all the criteria below and is not currently on TANF:

```{=html}
<!-- -->
```
1.  Each NCP record written must have at least (1) one Active, Full
    Service FGN with a valid obligation.

> (a.). IF (CSOBLTYP OF WS-CSOBLIG = \'1\') AND
>
> \- - 1 = ESTABLISHED - -)
>
> (b.) (CSODORDV OF WS-CSOBLIG \> ZEROES) AND
>
> \- - DATE WORKER RECEIVED ORDER - -)
>
> (c.) (CSORDRST OF WS-CSOBLIG = \'A\' OR \'C\') AND
>
> \- - A = ACTIVE C = CONCURRENT - -)
>
> (d.) (CSODSIGN OF WS-CSOBLIG \> ZEROES) AND
>
> \- - DATE ORDER SIGNED BY JUDGE - -)
>
> (e.) (CSOTRMDT OF WS-CSOBLIG = ZEROES)
>
> \- - DATE OF TERMINATION - -)

2.  Debt must total \$500 or greater (Rounded). Arrearage calculations
    performed by adding valid obligation totals and subtracting the
    'Current Support Curr Mon' amounts as seen on the CFABI screen.

3.  NCP must have a valid DCN loaded to OSIS.

4.  NCP must have at least one SSN that is not blank or beginning with
    "000" or "999".

5.  NCP cannot have Bankruptcy Date Filed without a Date of Discharge,
    this can be viewed on the ASUP screen.

6.  Must contain both a First and Last Name.

    A.  ***(Exception Report)*** May be used to help identify an NCP's
        FGNs which are considered to be Active, Full Service Cases were
        the NCP's arrearages are equal to \$500 or greater but have
        failed any of the other criteria set above as noted in (A3) thru
        (A6), inclusive.

```{=html}
<!-- -->
```
1.  The description identifies missing elements or the reason an NCP may
    be excluded from the text file.

2.  Only one active FGN per Office per NCP will be written to the
    exception report.

**[CX794M, CX977M, CY720M, CY733D, CY783D]{.underline} : Insurance Claim
Lien Creation in Batch:**

Liens will be created on OSIS for Workers' Comp and Personal Injury
claims as they come in from the Workers' Comp court, CompSource, and
CSLN.

The following are the Jobs in which WC or PI liens are created:

CX794R -- Monthly load of claims from the Workers' Comp Court.

The Court sends us all their new WC claims each month and we load

those that have SSN's matching our NCP's. The claim records

that are loaded can be seen on FCRL.

Report created: CY720MWC -- system report meant for monitoring

and trouble shooting and not for regular use by field see 'List

of Reports' section for sample report and explanation

> of fields on report.

CX977M -- Monthly load of claims from CompSource.

CompSource sends us WC claim records in response to a file of

our Obligors that has been sent to them first. We load those claims that

have SSN's matching our NCP's. The claim records that are loaded can be

seen on FCRL.

Report created: CY720MCS -- system report meant for monitoring

and trouble shooting and not for regular use by field see 'List

of Reports' section for sample report and explanation

> of fields on report.

CY733D -- Daily load of claims from CSLN.

CSLN sends us claim WC and PI records from insurance companies in

response to a file of our Obligors that sent to them first. We load

those claims that have SSN's matching our NCP's. If the same claim

is sent more than once from CSLN a reimburement record is written.

The reimbursement file is ftp'd to the STO office at the following

Location: S94x01\\Csed\\CSED State Office\\csln_refund_ok.txt.

Note: Workers' Comp claims that are received from CSLN are listed

under 'PI' in FCRL, but 'Workers Comp' in LENL.

Report created: CY720DLN -- system report meant for monitoring

and trouble shooting and not for regular use by field see 'List

of Reports' section for sample report and explanation

> of fields on report.

CY720M - runs monthly and reads all claims that have come in by way of

> the above three jobs in the previous two years, and creates liens for
> FGN's that didn't qualify before but do now. The first time this job
> runs, it will be a conversion process because it will create new liens
> for all the WC claim records going back two years before the new
> system was installed (December 2005).
>
> Report created: CY720MNT -- system report meant for monitoring
>
> and trouble shooting and not for regular use by field. see 'List of
> Reports' section for sample report and explanation of fields on
> report.

CY783D - Runs daily and prints the liens created (by the above four
jobs)

at the local offices.

> Report created: CY783D01 -- user report listing by office

1.  Liens printed

2.  Liens needing review

3.  I/A only liens (for NCP's with no arrears)

The entire report will be on Document Direct and each office's section

of the report will be printed at their local office printer along

with the liens.

The job reads a lien file (C256.CY720LEN.CY783D(0))created by one or
more

of the above four jobs. This file contains a list of liens to be

reported (and possibly printed). Once the liens have been reported,

the liens are marked on the database (ce005dbd.apiclien) as having

been reported do that they won't be reported (or printed again)

unless there is a change. Future changes will be reported, but not

re-printed unless the change involves an added court claim number.

For each claim record loaded, a WC or PI lien (as seen on LENL) is
created for each FGN of the NCP, under the following conditions:

1.  The claim must have at least an insurer or employer name.

2.  The claim must have a claim number or court number.

3.  The FGN must be an active, full service case (IV-D status of 02, 06,
    08, or 10,

Service request of 'F"), and have at least one active obligation.

4.  There is not already an existing lien with the given claim number or
    court number

for the given FGN.

For each WC lien created --

1.  The following names and addresses with address sequences equal to
    the lien sequence are created on OSIS and can be viewed on LENL or
    on the address screens (ADI, ASA, ASL):

06 -- AP WC INSURANCE CO.

07 - AP WC INSURANCE ATTORNEY

08 -- AP WC EMPLOYER

09 - AP WC ATTORNEY

2.  A Workers' Comp Claim Affidavit of Lien (document CSLWCC) is printed
    at the

local office.

3.  A Workers' Comp Lien Entry of Appearance (document CSLCEA) is
    printed at the

local office.

Note: The above two documents will only be printed if the FGN has debt.

(Total debt is calculated by adding up the obligation totals and
subtracting the 'Current Support Curr Mon' amount on the CFFBI screen).

If no Insurance company is given, the employer is listed as the insurer
on the

Documents. If no employer is given, the insurer is listed as the insurer
on the

Documents. If no attorney (09) is given, the NCP's regular attorney
(type 15

address - if it exists) will be listed on the documents.

4.  If the same claim is received more than once (possibly from
    different sources), the lien will be updated with information from
    both sources (for example CompSource

may supply the employer and the court may supply the attorney). Two
records are considered for the same claim if the SSN's are the same and
the claim or court numbers are the same, or, if one of the sources is
the Court, the SSN's and injury dates are the same.

If one of the sources for a claim is the Court and it comes after the
record from the other source, the lien notices will be printed again. If
the record from the Court comes first however, the liens will only be
printed the first time it comes in.

5.  A log message, as seen on CSLOGI, will be created to the effect that
    a new lien has been created.

6\. CY741D (The daily Workers' Comp I/A job) will automatically be
notified of any new liens created and produce I/A notices if appropriate
(See the section on CY741D on the conditions for creating I/A notices).

For each PI lien created --

1.  The following names and addresses with address sequences equal to
    the lien

sequence are created on OSIS and can be viewed on LENL or on the address

screens (ADI, ASA, ASL):

32 -- AP PI INSURANCE CO.

33 - AP PI CLAIMANT ATTORNEY

2\. A Personal Injury Claim Affidavit of Lien (document CSLPI) is
printed at the

local office.

Note: The above document will only be printed if the FGN has debt.

(Total debt is calculated by adding up the obligation totals and
subtracting the 'Current Support Curr Mon' amount on the CFFBI screen).

If no attorney (33) is given, the NCP's regular attorney (type 15

address - if it exists) will be listed on the document.

6.  A log message, as seen on CSLOGI, will be created to the effect that
    a new lien has been created.

Mailing of the documents to the insurance company, including

copies to the claimant or the claimant attorney will be handled

at the local office. (If the NCP has an attorney assigned to the

case, the copy will be mailed to the attorney the copy instead of

the claimant).

The liens will be printed at the local offices, unless they need review

or are i/a only. Report cy783d01, which lists the created liens is also
printed at

at the office. The following are the criteria for whether the liens are
printed,

need review, or are i/a only:

QUESTIONABLE ADDRESSES - MAILING SOFTWARE DIDN\'T RETURN A 9 CHAR ZIP
CODE

LIENS NEEDING REVIEW:

WC LIENS WITH NO INSURER OR NO EMPLOYER

PI LIENS WITH NO INSURER

UPDATED LIENS (UNLESS COURT NUMBER WAS ADDED)

I/A ONLY LIENS - I/A NOTICES WILL BE MAILED FROM HOST IN TWO DAYS

UNLESS IA ALREADY EXISTS AND PAYMENTS ARE CURRENT

PRINTED LIENS:

LIENS ARE NEW, HAVE A NEW COURT NUMBER, OR HAVE NOT BEEN PRINTED YET

AND

LIENS HAVE BOTH INSURER AND EMPLOYER, NO QUESTIONABLE ADDRESSES,

\| AND ARE NOT I/A ONLY

**[CY738R]{.underline} -- Moving *of Old type 06-09 addresses to
History***

**Proposed new program**

Proposed job -- CY738R is a job that runs program CY738. This job can be
run in update or non-update mode. The job should be run in non-update
mode first so that a file is created for all 06, 07, 08, and 09 address
types that will be deleted.

Program CY738 -- one-time program to move address records to History
records with 06, 07, 08, and 09 record types that are not tied to the
new liens.

You can tell on OSIS when one of these addresses

is an old address and not a new one by the fact that it won't have an
address sequence

number associated with it. The new addresses will always have a sequence
associated

with them that matches the lien sequence.

**[CY740R01]{.underline} -- *Report existing WC Claims***

**Proposed new program**

Create a report by office, fgn, of the following:

Existing Workers' Comp liens on as seen on LENA

Existing Workers' Comp lien documents

(LWCA1, LWCA2, LWCEA, LWCJ1, LWCJ2, LWCRL1, LWCRL2)

Existing type 06 07 08 09 addresses. You can tell on OSIS when one of
these addresses

is an old address and not a new one by the fact that it won't have an
address sequence

number associated with it. The new addresses will always have a sequence
associated

with them that matches the lien sequence.

The purpose of the report is to list the existing WC lien data that we
have on the system prior to creating the liens on the new system. It is
hoped that this will assist the local offices in deciding if they need
to mail or not mail the new liens that get produced.

The following is a sample of the report:

\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\* Top
of Data
\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*

CY740R01 V01 OKLAHOMA DEPARTMENT OF HUMAN SERVICES RUN DATE: 05/27/05

CHILD SUPPORT ENFORCEMENT DIVISION RUN TIME: 10:02

EXISTING WORKERS COMP LIENS PAGE : 1

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

OFC FGN DATE TEXT

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

ADA 000109225001 05/05/18 WC ADDRESS CREATED - TYPE 06

05/05/18 WC ADDRESS CREATED - TYPE 06

05/05/12 WC ADDRESS CREATED - TYPE 09

05/05/12 WC ADDRESS CREATED - TYPE 09

05/05/18 WC ADDRESS CREATED - TYPE 06

05/05/18 WC ADDRESS CREATED - TYPE 06

05/05/18 WC ADDRESS CREATED - TYPE 08

05/05/18 WC ADDRESS CREATED - TYPE 08

05/05/18 WC ADDRESS CREATED - TYPE 08

05/05/10 WC ADDRESS CREATED - TYPE 09

05/05/12 WC ADDRESS CREATED - TYPE 09

ALT 000007320001 05/05/10 WC ADDRESS CREATED - TYPE 09

05/05/18 WC ADDRESS CREATED - TYPE 08

03/04/23 WC ADDRESS CREATED - TYPE 07

05/05/18 WC ADDRESS CREATED - TYPE 06

03/04/23 WC DOCUMENT GENERATED - TYPE CSLWCJ1

03/04/23 WC DOCUMENT GENERATED - TYPE CSLWCEA

03/05/13 WC DOCUMENT GENERATED - TYPE CSLWCEA

03/05/13 WC DOCUMENT GENERATED - TYPE CSLWCEA

03/05/13 WC DOCUMENT GENERATED - TYPE CSLWCEA

03/05/13 WC DOCUMENT GENERATED - TYPE CSLWCEA

000007747001 91/09/03 WC ADDRESS CREATED - TYPE 06

00/00/00 WC ADDRESS CREATED - TYPE 08

91/09/03 WC ADDRESS CREATED - TYPE 09

000007907001 05/01/25 WC DOCUMENT GENERATED - TYPE CSLWCA1

05/01/25 WC DOCUMENT GENERATED - TYPE CSLWCA1

05/01/25 WC DOCUMENT GENERATED - TYPE CSLWCA1

000007907002 05/01/25 WC DOCUMENT GENERATED - TYPE CSLWCA2

000008144001 05/05/10 WC ADDRESS CREATED - TYPE 09

05/05/18 WC ADDRESS CREATED - TYPE 08

05/05/18 WC ADDRESS CREATED - TYPE 06

ARD 000050135001 05/05/18 WC ADDRESS CREATED - TYPE 08

05/05/12 WC ADDRESS CREATED - TYPE 09

05/05/18 WC ADDRESS CREATED - TYPE 06

CY770R01 V01 OKLAHOMA DEPARTMENT OF HUMAN SERVICES RUN DATE: 05/27/05

CHILD SUPPORT ENFORCEMENT DIVISION RUN TIME: 10:02

EXISTING WORKERS COMP LIENS PAGE : 2

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

OFC FGN DATE TEXT

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

000288130001 05/05/18 WC ADDRESS CREATED - TYPE 08

05/05/12 WC ADDRESS CREATED - TYPE 09

05/05/18 WC ADDRESS CREATED - TYPE 06

000312730001 05/05/18 WC ADDRESS CREATED - TYPE 06

05/05/18 WC ADDRESS CREATED - TYPE 08

05/05/10 WC ADDRESS CREATED - TYPE 09

000324920001 05/05/18 WC ADDRESS CREATED - TYPE 09

05/05/18 WC ADDRESS CREATED - TYPE 06

05/05/18 WC ADDRESS CREATED - TYPE 08

03/09/29 WC LIEN ON LENA OBL=001 JDG=001 SEQ=002 CSLIENWC=Y

WOO 000041814001 05/05/12 WC ADDRESS CREATED - TYPE 09

05/05/18 WC ADDRESS CREATED - TYPE 08

05/05/18 WC ADDRESS CREATED - TYPE 06

000348565001 05/05/18 WC ADDRESS CREATED - TYPE 06

05/05/18 WC ADDRESS CREATED - TYPE 08

05/05/12 WC ADDRESS CREATED - TYPE 09

TOTALS

DOCUMENTS READ ON DOCGEN DATABASE\...\.... 52

ADDRESSES READ ON ADDRESS DATABASE\...\... 198,383

WC LIENS FOUND ON DOCUMENT DATABASE\..... 52

WC LIENS FOUND ON LENA DATABASE\...\...\... 29

06 ADDRESSES FOUND ON ADDRESS DATABASE.. 230

07 ADDRESSES FOUND ON ADDRESS DATABASE.. 11

08 ADDRESSES FOUND ON ADDRESS DATABASE.. 163

09 ADDRESSES FOUND ON ADDRESS DATABASE.. 201

TOTAL RECORD LINES WRITTEN\...\...\...\..... 686

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

END CY740R01

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

**[CY741D]{.underline}**

Notice to Withhold Income for Child Support

The Workers' Compensation Analyzer Process

**[Introduction:]{.underline}**

The Workers' Compensation processing flow was developed in the Workgroup
Meetings for CSED Workers' Compensation PIT. The process illustrates the
required steps to be taken to decide whether or not a Workers'
Compensation Notice of Income Assignment(WCNOIA) needs to be issued to
withhold income for Child Support. This WCNOIA process does **NOT**
include Personal Injury Claim processing.

**[CY741R01 Report:]{.underline}**

This report is output from the WCNOIA Analyzer. Its purpose is to log
the result of what the WCNOIA Analyzer did with the Case or FGN and any
Claims attached to the FGN. This document will give a brief description
of any WCNOIA documents generated as well as a reason why documents
failed to be generated. This report is not designed for distribution to
each CSED office. It will be placed on RDS for anyone with the
appropriate security access. They will be able to do a 'FIND' on the FGN
in question to see what the Analyzer logged for the Case. The report's
audience is intended to be CSED field Offices and the CSED Technical
Staff. The report can save an enormous amount of time when doing problem
determination.

**[WCNOIA Analyzer Processing:]{.underline}**

The WCNOIA process must have a Claim record attached to the Absent
Parent(AP or NCP) as a minimum. If no Claim information is available for
a NCP the WCNOIA Analyzer will issue the message: FGN DOES NOT HAVE WC
CLAIM RECORD for the FGN on CY741R01 report.

The valid Case or FGN must be one of the following:

> Must be a Full Service Case
>
> Must have Case Priority Code of '1 - Current Payments being made' or
>
> '2 -- Current Payments not being made' or
>
> '5 -- AP Location not established'
>
> Must be an Active Case
>
> 02 -- Active
>
> 06 -- Active, Arrearage only
>
> 08 -- Active Judgment
>
> 10 -- Open, Currently Un-collectable
>
> 04 -- Closed
>
> Note: If case type is (04 -- Closed) and the case closed in the past
> seven days, the case will be considered active for the current run
> otherwise closed cases will not be considered for processing.

If the case is a valid case yet has a Pending Case Closure Reason, the
case processing will stop and the Message: CASE HAS POTENTIAL CLOSURE
REASON -- (with the Reason Code). Reason codes can be seen in T-User
with 'M CSCIVDSR'.

The case must have an enforceable order or obligation attached to it. If
there is not an enforceable obligation, AWL Message CSAWIA01 will be
issued and the message: FGN HAS NO ENFORCEABLE OBLIGATION will show on
the CY741R01 Report. No further processing will be done for this FGN.

The case must have CSPAYREC information attached to it. The CSPAYREC
data is created outside of the WCNOIA CY741 Analyzer process. If
CSPAYREC information for the case does not exist, the message: FGN HAS
ENFORCEABLE OBLIGATION; NO PAY INFOR will show on the CY741R01 Report.
To view the CSPAYREC data use CSPAYI. No further processing will be done
for this FGN.

If on the selected enforceable obligation, the office is 'ADA' or if the
procedure type is 'TR' or 'CR', the case will be considered TRIBAL. If
the case is TRIBAL, AWL message CSAWIA06 will be issued. Also, message:
FGN IS TRIBAL, CSAWIA06 AWL INSERTED will show on CY741R01 Report. See
screen OBLI 'PROC TYP' for procedure type. No further processing will be
done on the FGN.

The enforceable obligation cannot have an active outgoing referral
attached to it. If the obligation has an active outgoing referral and
the NCP's type 01 address is 'V' or 'U' with 'OK' as the state AWL
message CSAWIA03 will be created and message: OUTGOING INTERSTATE, SEE
AWL MESSAGE CSAWIA03 will show on CY741R01 Report. No further processing
will be done on the FGN. If the state not 'OK' the message: OUTGOING
INTERSTATE, STATE IS - ??, NOT ELIGIBLE CSWCNOIA will show on CY741R01
Report. No further processing will be done on the FGN.

If the obligation has an active incoming referral and the NCP's type 01
address is 'V' or 'U' with 'OK' as the state, AWL message CSAWIA07 will
be created and message: FGN INCOMING INTERSTATE, STATE IS - ??, SEE AWL
MESSAGE CSAWIA07 will show on CY741R01 Report. No further processing
will be done on the FGN.

There are a few Bankruptcy checks being done by the WCNOIA Analyzer:

> When the Bankruptcy type is Chapter 11, 12 or 13:
>
> AWL Message CSAWIA08 will be created
>
> Message FGN IN BANKRUPTCY, CSAWIA08 INSERTED will show on CY741R01
> Report. No further processing will be done on the FGN.
>
> When the Bankruptcy type is any other type:
>
> Processing for the FGN will continue.

If the case is Open and currently Un-collectable with the following
Reason Codes:

> Reason Code is '18' or ENF-AP is Currently TANF Client:

Issue the following CY741R01 Message: FGN UNCOLLECTABLE, REASON 18
BANKRUPTCY. No further processing will be done on the FGN.

Reason Code is '20' or ENF-AP Temporarily Disabled no Income/Assets 180
days:

Issue AWL Message CSAWIA12, Issue message: FGN UNCOLLECTABLE, REASON 20,
SEE AWL MESSAGE CSAWIA12 on CY741R01 Report. No further processing will
be done on the FGN.

Reason Code is '28' or ENF-BANKRUPTCY or Reason Code is '29' or
EST-BANKRUPTCY.

Issue AWL Message CSAWIA09. Issue FGN UNCOLLECTABLE, REASON 28, 29 SEE
AWL MESSAGE CSAWIA09. No further processing will be done on the FGN.

If the FGN has a Verified Employer and has a current Employer NOIA in
place and is currently receiving payments from either Garnishments(K -
payments) or Employment Security Commission(J - Unemployment Insurance
payments) and CSED is receiving payments within the last 45 days, a
WCNOIA will NOT be issued. The message: CURRENT CSNOIA IN PLACE AND
RECEIVING PAYMENTS will be placed on the CY741R01 Report. No further
processing will be done on the FGN.

If this FGN has Lien Release Date present, no WCNOIA can be issued for
this Claim In order for the WCNOIA to be generated Lien/Claim data must
be present The message: FGN HAS A LIEN RELEASE DATE OF CCYYMMDD IN PLACE
. No further processing will be done on the FGN.

Now the WCNOIA Analyzer will begin to check the Current status of any
WCNOIA's that might be currently in place for the NCP:

If a WCNOIA is in place and its status is 'S' or Selected or NOT Printed
the message FGN HAS CLAIM WCNOIA IN SELECTED STATUS will be issued on
the CY741R01 Report. No further processing will be done on the FGN.

If a WCNOIA is in place and its status is Pended (probably caused by
DocGen not being able to resolve all the variables at document creation
time), the message: FGN HAS CSWCNOIA THAT IS PENDED will be issued on
the CY741R01 Report. No further processing will be done on this FGN.

If a WCNOIA is in place and its status is Pulled with a reason code of
10 (do not allow re-generation of WCNOIA for this Claim), issue message
FGN HAS CLAIM CSWCNOIA THAT HAS BEEN PULLED will be issued on the
CY741R01 Report. No further processing will be done on this FGN. Note:
If any other reason code is entered besides 10, processing for this NCP
will continue.

Generating WCNOIA Notices:

Initial Document CSWCIAI:

A check is made to see if the CSPAYREC information is zeroes, if yes,
the message FGN PAY REC AMOUNTS ARE ZEROES. SEE 'CSPAYI' will be issued
on the CY741R01 Report. No further processing will be done on this FGN.

A check is made to see if the FGN is MEO, if yes, the message FGN HAS
ACTIVE MEO ONLY CP -- SEE 'CCPI' will be issued on the CY741R01 Report.
No further processing will be done on this FGN.

There can be NO current WCNOIA document in place.

Generate the Initial Document. See WCNOIA Copy determination later in
this document.

Amended Document CSWCIAA:

A check is made to see if the CSPAYREC information has changed. Also, a
check is made to see if a previous document has been printed. Previous
printed documents could be Initial or Amended documents.

If no changes in the CSPAYREC, the message CLAIM WCNOIA EXISTS, NO
CHANGE IN AMOUNTS will be issued on the CY741R01. No further processing
will be done on this FGN

If new changes have been made in CSPAYREC:

Generate the Amended Document. See WCNOIA Copy determination below.

Termination Document CSWCIAT:

A check is made to see if a current printed document is in place for the
NCP. If yes, has all CSPAYREC amounts been set to zeroes?

A check is made to see if there has already been a Termination document
generated. If yes, the message FGN ALREADY HAS A TERMINATION NOTICE SENT
will be issued on CY741R01 Report. No further processing will be done on
this FGN.

IF no Termination previously sent:

Generate a Termination document. See WCNOIA Copy determination below.

**[Special Note on Termination WCNOIA documents:]{.underline}**

Per the WC/CSLN PIT Group, most likely, a Termination document will NOT
be handled or automated in this manner. The PIT group did not like the
idea of 'zeroing out' the CSPAYREC amounts causing an automated
Termination WCNOIA document to be sent. Rather, they preferred to leave
the CSPAYREC amounts in place and update the Lien Release Date to cause
the document NOT to be issued for the claim. They would then generate
any required Termination document manually using the CSCD transaction.

WCNOIA Copy Determination:

Insurer and Employer:

One of the above WCNOIA documents has been generated. Now the WCNOIA
must determine who gets the original and who gets the copies.

If no WC Insurer address(type 06) or no WC Employer address(type08) is
available, the message NO VALID WC INSURER OR EMPLOYER ADDRESS FOR NCP
will be issued on CY741R01 Report.

If a WC Insurer address is present, the WC Insurer will get the Original
(CSWCIAI, CSWCIAA, CSWCIAT).

If there is no WC Insurer but there is an WC Employer address, the
Employer will get the Original(CSWCIAI, CSWCIAA, CSWCIAT).

If there is a WC Insurer but no WC Employer address the message NCP
EMPLOYER ADDR NOT FOUND, CSWCIA?E NOT GEN'ED will be issued on the
CY741R01 Report.

If both WC Insurer and WC Employer addresses are present, the WC Insurer
will get the original(CSWCIAI, CSWCIAA, CSWCIAT) and the WC Employer
will get the copy(CSWCIAIE, CSWCIAAE, CSWCIATE).

NCP or the NCP Attorney Copies:

A check will be made to determine if the NCP has an Attorney address
present, either type(09 or 15).

If the NCP has an Attorney, a copy of the generated WCNOIA will go to
the Attorney((CSWCIAIL, CSWCIAAL, CSWCIATL).

If the NCP(address type 01) does not have an attorney address present,
the copy will go to the NCP(CSWCIAIC, CSWCIAAC, CSWCIATC) provided a
type '01' NCP address is available. The WCNOIA Analyzer only cares if
the Insurer or the Employer address is in place. It is not necessary for
the NCP to receive a copy. This might happen if the case priority is
5(AP Location not established). If the NCP address is not available the
message NCP ADDR NOT FOUND, CSWCIAAC NOT GEN\'ED will be put on the
CY741R01 Report.

The following messages will be issued on the CY741R01 Report depending
on the type of addresses found for WCNOIA distribution:

CSWCNOIA CSWCIA? TO INSURER WAS GENERATED

CSWCNOIA CSWCIA?E EMPLOYER COPY GENERATED

CSWCNOIA CSWCIA?C NCP COPY WAS GENERATED

CSWCNOIA CSWCIA?L ATTORNEY COPY GENERATED

The WCNOIA Printing Process:

When a document is ready to be printed, it will be accomplished by
making a call to the Document Generation(DocGen) process. When DocGen
generates a WCNOIA document, it is not printed immediately but placed in
'S' Selected status or not printed. The Document will stay in 'S' status
for two working days before DocGen automatically prints the physical
document for mailing. During the two days the document stays in 'S'
status, the Worker has an opportunity to cause the document to be 'P'
Pulled. Pulling the document will prevent the document from being
printed and mailed.

It is also possible that the call to DocGen process may place the
requested document in 'Pended' status. This will happen when DocGen
finds an incomplete address required for mailing. The worker will see
the pended documents by using transaction CSDOCP. This transaction will
tell the Worker why the document Pended. When the address gets
corrected, CSDOCP will allow for the document variables to be
re-resolved for printing. Also, it is possible to see that a document
was pended by seeing the message NCP ADDR NOT FOUND, CSWCIAAC NOT
GEN\'ED on the CY741R01 report.

WCNOIA Triggers and how they affect the WCNOIA Analyzer:

The WCNOIA Analyzer requires input records or Triggers with the FGN
present. These FGN Triggers tell the WCNOIA Analyzer what cases to
process to see if the FGN is a candidate for WC Income Assignment.

These FGN Triggers are created throughout the day by Workers updating
case information that might cause the Priority program to get scheduled.
Another way to describe Trigger generation is to think of them as being
caused some event. The event may be sufficient enough to cause the case
to be looked at in more detail for potential Child Support Income. FGN
triggers are also generated by batch computer processes. For example,
the creation of WC Liens would cause WC Triggers to be generated.
However, just because a FGN trigger gets generated doesn't mean that a
WCNOIA document will be created. The Analyzer will show on the CY741R01
Report what happened with every FGN trigger during the WCNOIA Analyzer
process.

**[A special note about Trigger Generation:]{.underline}**

Suppose a Worker makes a change to a Case that causes the Trigger
Generation program to run. The Trigger Generation makes a few edits when
it is scheduled by the system. The reason why this is done is to cut
down on the number of Cases that have to be processed.

The following basic edits are done when the Trigger program gets called:

> The Case Status must be:
>
> 02 -- Active or
>
> 06 -- Active Arrearage only or
>
> 08 -- Active Judgment or
>
> 10 -- Open Currently Un-collectable or
>
> 04 -- Closed (If Closed within the past 7 days)
>
> The Case Priority must be:
>
> 1 -- Current Payments being made or
>
> 2 -- Current Payments NOT being made or
>
> 5 -- AP Location Not Established
>
> Workers' Comp. Claims:
>
> Lien/Claim data must exist for the NCP associated with the FGN.

If the above simple edits pass, a Trigger will be placed on the Database
for the WCNOIA CY741 to process. Even after the Trigger gets by the
edits, the WCNOIA Analyzer may NOT generate a WCNOIA document. However,
if the Trigger exists, the Analyzer will put out a simple message to
notify the Worker what happen with it. If the FGN does not exist on
Report CY741R01, a Trigger for it was NOT generated.

After the Analyzer processes all triggers, the triggers will be deleted.

![](media/image5.wmf)

![](media/image6.wmf)

![](media/image7.wmf)![](media/image8.wmf)

***[CX794R]{.underline} --*** Workers' Comp court file download

**Current processing**

> Existing job that downloads new Workers' Comp Court cases onto the FCR
> database on OSIS. Runs on request when we get the CD from the Workers'
>
> Comp Court (about once a month). The CD contains new cases filed with
> the court. Any claim where the claimant is an existing NCP (active or
> not), is loaded onto FCR. All input records are kept on file for two
> years. If a new FGN is created in the meantime, that matches an old
> court record, that claim will also be loaded. The records loaded onto
> FCR are accessible through the FCRL and WCCL screens.
>
> Currently there is a problem in that if some of the OSIS data changes,
> the same claim can be entered on FCR twice. An analysis of the data
> received in the past two years shows the following:
>
> WC court Records processed: 9086
>
> Duplicates created due to changes in OSIS data: 447
>
> Duplicates created due to changes in injury date: 22
>
> CompSource records processed: 2431
>
> Duplicates created due to changes in OSIS data: 710
>
> Duplicates created due to changes in file-date: 507
>
> Duplicates created due to changes in names and addresses: 98
>
> There is also a problem with the data that the court is sending us.
> The court has three fields for the insurer
>
> street address, but they are only sending us the first one. As a
> consequence we sometimes don't get the
>
> complete address. This prevents us from sending Workers' Comp notices
> to the insurer.
>
> Further complicating the problem is the fact that if we get a contact
> name, it is put in the first address
>
> line with the regular address getting put in the second and third
> lines.

**Proposed Change**

There are two reasons for the duplication problem:

1.  OSIS data is being compared instead of just source data.

2.  The date being sent by CompSource in 'file-date' is the date the

> data was sent instead of the date that the NCP filed the claim.

Proposed solution: Don't include OSIS data or 'file-date' in the record
comparison.

> With regards to the street address problem, as of June, 2005, they
> court is sending us all fields.
>
> We will be modifying the CX794R job, to capture all three street
> address fields in the FCR system
>
> so that they can be viewed on the FCRWCC screen.
>
> Current FCRWCC screen: (If insurer contact is given, full address
> isn't captured)
>
> CX798S01 V02 F02 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 06/22/05
>
> TRANID: FCRWCC WORKERS COMPENSATION LOCATE INFORMATION TIME: 14:12:45
>
> FGN: 000253205001 WRKER: U55919 IV-D STATUS: 01 IVD: N SSN: 999999999
>
> NAME: THOMAS WHITE NCP DCN: 008989233
>
> =====================================================================PAGE:
> 001
>
> NAME RETURNED: WHITE, THOMAS CLAIM: 2004-00801J
>
> RESPONDENT: CITY OF OKLAHOMA CITY FILED DATE: 01/21/04 INJURY DATE:
> 12/13/03
>
> ADD TYPE: CLAIMANT ADD TYPE: RESPONDENT FEIN: 736005359
>
> 3300 N JORDAN 200 N WALKER
>
> OKLAHOMA CITY, OK 73111 OKLAHOMA CITY, OK 73102
>
> ADD TYPE: INSURER ADD TYPE: CLAIMANT ATTORNEY
>
> CITY OF OKLAHOMA CITY (OWN RISK #7800) COOPER, JEFFREY M
>
> JASON SMITHERMAN 4816 N CLASSEN
>
> OKLAHOMA CITY, OK 73102 OKLAHOMA CITY, OK 73118-4696
>
> ======================= MATCHED PERSON INFORMATION
> ==========================
>
> NAME DOES MATCH
>
> DATA SOURCE NAME: WHITE, THOMAS MATCHED SSN: 228158935
>
> TOT LUMP SUM: TOT ACCRUAL: TOT REGULAR:
>
> IA TO RESPONDENT: DATE: 00/00/00 IA TO INSURER? DATE: 00/00/00
>
> LENA SHOWS WC LIEN? DATE LIEN FILED: 00/00/00
>
> CX798M05 - END OF DATA
>
> NEXT: F2-GO TO FCRL F3-FCRLWCC

Proposed change: (Insurer full address and contact name are captured)

> CX798S01 V02 F02 OKLAHOMA DEPT OF HUMAN SERVICES DATE: 06/22/05
>
> TRANID: FCRWCC WORKERS COMPENSATION LOCATE INFORMATION TIME: 14:12:45
>
> FGN: 000253205001 WRKER: U55919 IV-D STATUS: 01 IVD: N SSN: 999999999
>
> NAME: THOMAS WHITE NCP DCN: 008989233
>
> =====================================================================PAGE:
> 001
>
> NAME RETURNED: WHITE, THOMAS CLAIM: 2004-00801J
>
> RESPONDENT: CITY OF OKLAHOMA CITY FILED DATE: 01/21/04 INJURY DATE:
> 12/13/03
>
> ADD TYPE: CLAIMANT ADD TYPE: RESPONDENT FEIN: 736005359
>
> 3300 N JORDAN 200 N WALKER
>
> OKLAHOMA CITY, OK 73111 OKLAHOMA CITY, OK 73102
>
> INSURER: CITY OF OKLAHOMA CITY (OWN RISK #7800) ADD TYPE: CLAIMANT
> ATTORNEY
>
> JASON SMITHERMAN COOPER, JEFFREY M
>
> 200 N WALKER 4816 N CLASSEN
>
> OKLAHOMA CITY, OK 73102 OKLAHOMA CITY, OK 73118-4696
>
> ======================= MATCHED PERSON INFORMATION
> ==========================
>
> NAME DOES MATCH
>
> DATA SOURCE NAME: WHITE, THOMAS MATCHED SSN: 228158935
>
> TOT LUMP SUM: TOT ACCRUAL: TOT REGULAR:
>
> IA TO RESPONDENT: DATE: 00/00/00 IA TO INSURER? DATE: 00/00/00
>
> LENA SHOWS WC LIEN? DATE LIEN FILED: 00/00/00
>
> CX798M05 - END OF DATA
>
> NEXT: F2-GO TO FCRL F3-FCRLWCC

***[CX977M]{.underline} --*** CompSource file download job

**Current processing**

> Existing monthly job that downloads a file of workers' comp claim
> records from CompSource that matched SSN's in a prior list of all OSIS
> NCP's that is sent to them.
>
> Currently there is a problem in that if some of the OSIS data changes,
> the same claim can be entered on FCR twice.

**Proposed Change**

See solution under CX794R, above.

**Additional Change**

As of September, 2005, CompSource will be sending us, per our request,
additional

data attorney address, employer name and address, insurer contact name ,
and filing

date. The download program will be changed to capture these new fields,
which

will also be displayed on the FCR and Liens screens.

> ***[CE264M]{.underline} --*** Job to report Workers' Comp Collections,
> Personal Injury Collections, FIDM Collections, Workers' Comp active
> liens, and Personal Injury active liens

**Current processing**

> Monthly Collections report (RDS CE264R01):
>
> CE264R01 V00 OKLAHOMA DISTRIBUTION PAYMENT REPORT
>
> FOR THE PERIOD 11/2004 THROUGH 11/2004
>
> 2004 NOVEMBER
>
> TC & WC 256,996.18
>
> FI 75,460.82
>
> TOTAL 332,457.00
>
> CE264R01 END OF REPORT
>
> **Proposed change**

Add three 'rolling year' reports of collections from Workers Comp,
Personal Injury, and FIDM liens. Detailed reports are CE264MC1 thru
CE284MC3.

The reports are run every month and default to the preceding twelve
months. If the report is run in May, 2005, for example, it will cover
May 2004 through April, 2005 for an office. However, the last reporting
month can be changed with a job control card to be any month. This can
aid in testing,

as testers can request the reporting month to be the current month, so
that liens and receipts created in the current month will be included in
the report.

The reports are in a table-like format with each of the preceding twelve
months on top and each office on the left side. Each 'cell' in the table
is the total collections for an office for one month. Collections are
calculated by adding up the receipts as follows:

Workers' Comp: Payment Type WC

Personal Injury: Payment Type PI

FIDM: Payment Type FI

No edits are made on distribution codes.

Only receipts that have been posted to balances are counted -
undistributed receipts are excluded. Other than that no edits are made
on distribution codes,

The report month in which the receipts are included is based on the
entry date of the receipt (not the effective date).

CE264MC1 PGM-CY774 OKLAHOMA DEPARTMENT OF HUMAN SERVICES RUN-DATE:
11/15/2005

CHILD SUPPORT ENFORCEMENT RUN-TIME: 09:07

WORKERS COMP COLLECTION REPORT

YEAR ENDING NOVEMBER, 2005

OFF 12/04 01/05 02/05 03/05 04/05 05/05 06/05 07/05 08/05 09/05 10/05
11/05 OFFICE TOT

TOT 619 429 239 306 96 402 1,239 625 1,902 1,324 12,412 13,966
\$33,563.70

ADA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

ALT 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

ARD 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

BAR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

CHI 0 0 0 0 0 277 381 625 760 519 415 0 \$2,978.86

CLA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

DUN 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

DUR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

ELR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

ENI 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

FAI 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

GUT 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

IDA 0 0 0 0 0 0 0 0 0 0 250 0 \$250.00

LAW 0 0 0 0 0 0 743 0 0 0 0 0 \$743.25

MCA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

MIA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

MUS 0 0 0 67 96 125 115 0 0 0 0 0 \$403.87

NEW 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

NOR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OKA 0 0 0 0 0 0 0 0 0 0 10,967 13,966 \$24,933.95

OKB 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OKC 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OKJ 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OKM 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OUS 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PAU 239 239 239 239 0 0 0 0 0 0 0 0 \$956.95

PAW 380 190 0 0 0 0 0 0 0 0 0 0 \$570.60

PFR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PGC 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PON 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

POT 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAD 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAL 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAP 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAT 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAY 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SCL 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SCR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SFA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SFN 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SHA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SIN 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SLG 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SPD 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SRU 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

STI 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

STO 0 0 0 0 0 0 0 0 0 25 0 0 \$25.00

STR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

STX 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SYS 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

TAH 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

TUE 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

CE264MC1 PGM-CY774 OKLAHOMA DEPARTMENT OF HUMAN SERVICES RUN-DATE:
11/15/2005

CHILD SUPPORT ENFORCEMENT RUN-TIME: 09:07

WORKERS COMP COLLECTION REPORT

YEAR ENDING NOVEMBER, 2005

OFF 12/04 01/05 02/05 03/05 04/05 05/05 06/05 07/05 08/05 09/05 10/05
11/05 OFFICE TOT

TUL 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

TUW 0 0 0 0 0 0 0 0 1,141 779 779 0 \$2,701.22

WEW 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

WOO 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

END OF REPORT CE264MC1

CE264MC2 PGM-CY774 OKLAHOMA DEPARTMENT OF HUMAN SERVICES RUN-DATE:
11/15/2005

CHILD SUPPORT ENFORCEMENT RUN-TIME: 09:07

PERSONAL INJURY SETTLEMENT COLLECTIONS

YEAR ENDING NOVEMBER, 2005

OFF 12/04 01/05 02/05 03/05 04/05 05/05 06/05 07/05 08/05 09/05 10/05
11/05 OFFICE TOT

TOT 0 0 0 0 0 0 0 0 0 0 16,277 4,000 \$20,277.72

ADA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

ALT 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

ARD 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

BAR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

CHI 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

CLA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

DUN 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

DUR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

ELR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

ENI 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

FAI 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

GUT 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

IDA 0 0 0 0 0 0 0 0 0 0 250 0 \$250.00

LAW 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

MCA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

MIA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

MUS 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

NEW 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

NOR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OKA 0 0 0 0 0 0 0 0 0 0 16,027 4,000 \$20,027.72

OKB 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OKC 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OKJ 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OKM 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OUS 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PAU 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PAW 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PFR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PGC 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PON 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

POT 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAD 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAL 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAP 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAT 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAY 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SCL 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SCR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SFA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SFN 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SHA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SIN 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SLG 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SPD 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SRU 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

STI 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

STO 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

STR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

STX 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SYS 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

TAH 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

TUE 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

CE264MC2 PGM-CY774 OKLAHOMA DEPARTMENT OF HUMAN SERVICES RUN-DATE:
11/15/2005

CHILD SUPPORT ENFORCEMENT RUN-TIME: 09:07

PERSONAL INJURY SETTLEMENT COLLECTIONS

YEAR ENDING NOVEMBER, 2005

OFF 12/04 01/05 02/05 03/05 04/05 05/05 06/05 07/05 08/05 09/05 10/05
11/05 OFFICE TOT

TUL 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

TUW 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

WEW 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

WOO 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

END OF REPORT CE264MC2

CE264MC3 PGM-CY774 OKLAHOMA DEPARTMENT OF HUMAN SERVICES RUN-DATE:
11/15/2005

CHILD SUPPORT ENFORCEMENT RUN-TIME: 09:07

FIDM COLLECTIONS REPORT

YEAR ENDING NOVEMBER, 2005

OFF 12/04 01/05 02/05 03/05 04/05 05/05 06/05 07/05 08/05 09/05 10/05
11/05 OFFICE TOT

TOT 49 5 20,772 28,818 6,237 1,428 380 1,411 5,761 0 200 0 \$65,065.46

ADA 0 0 0 17,099 8 145 143 0 0 0 0 0 \$17,397.00

ALT 49 0 232 423 0 0 232 0 0 0 0 0 \$938.38

ARD 0 0 0 0 378 0 0 0 0 0 0 0 \$378.75

BAR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

CHI 0 0 14,446 880 0 0 0 0 0 0 0 0 \$15,327.47

CLA 0 0 5 0 1,507 0 0 1,380 0 0 0 0 \$2,892.00

DUN 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

DUR 0 0 0 0 20 0 0 0 0 0 0 0 \$20.08

ELR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

ENI 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

FAI 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

GUT 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

IDA 0 5 0 0 0 0 0 0 0 0 0 0 \$5.28

LAW 0 0 0 1,945 5 0 0 25 0 0 0 0 \$1,976.48

MCA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

MIA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

MUS 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

NEW 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

NOR 0 0 0 803 0 0 0 0 0 0 0 0 \$803.09

OKA 0 0 0 459 0 6 0 0 2,724 0 200 0 \$3,389.88

OKB 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OKC 0 0 0 2,070 3,037 0 0 0 3,037 0 0 0 \$8,145.71

OKJ 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OKM 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

OUS 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PAU 0 0 0 1,237 0 1,277 0 0 0 0 0 0 \$2,514.11

PAW 0 0 44 0 1,199 0 4 0 0 0 0 0 \$1,248.95

PFR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PGC 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

PON 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

POT 0 0 0 290 0 0 0 0 0 0 0 0 \$290.00

SAD 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAL 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAP 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAT 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SAY 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SCL 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SCR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SFA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SFN 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SHA 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SIN 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SLG 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SPD 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SRU 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

STI 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

STO 0 0 0 0 80 0 0 0 0 0 0 0 \$80.00

STR 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

STX 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

SYS 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

TAH 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

TUE 0 0 0 3,273 0 0 0 0 0 0 0 0 \$3,273.53

CE264MC3 PGM-CY774 OKLAHOMA DEPARTMENT OF HUMAN SERVICES RUN-DATE:
11/15/2005

CHILD SUPPORT ENFORCEMENT RUN-TIME: 09:07

FIDM COLLECTIONS REPORT

YEAR ENDING NOVEMBER, 2005

OFF 12/04 01/05 02/05 03/05 04/05 05/05 06/05 07/05 08/05 09/05 10/05
11/05 OFFICE TOT

TUL 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

TUW 0 0 6,043 335 0 0 0 6 0 0 0 0 \$6,384.75

WEW 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

WOO 0 0 0 0 0 0 0 0 0 0 0 0 \$0.00

END OF REPORT CE264MC3

> Job CE264M will also create the following two user reports:
>
> CE264ML1 -- Active Workers' Comp Liens
>
> CE264ML2 -- Active Personal Injury Liens
>
> The reports will show all active liens by office and FGN, and ordered
> by the NCP's last name within an office. Only liens active during the
> Report month will be reported. The report month will default to the
> latest completed month. However, the reporting month can be changed
> with a job control card to be any month. This can aid in testing, as
> testers can request the reporting month to be the current month, so
> that liens and receipts created in the current month will be included
> in the report.
>
> Report lines will show the date the liens were created, the date the
> liens were filed in court (if they were), the date of the latest
> collection received, the total collections received to date, the total
> collections received in the reporting month,
>
> the total debt owed by the FGN, and the total monthly due owed by the
> FGN.
>
> Collection amounts are shown by FGN as a whole and not by individual
> liens,
>
> since OSIS doesn't maintain a tie berween individual receipts and
> liens.
>
> The Workers' Comp and Personal Injury reports are intended to assist
> workers in monitoring the liens. If there is no date in the date lien
> filed column, this may be a reminder to file the lien in court. If the
> latest collection date is earlier than the date the liens were filed,
> the liens may need following up to see why we haven't received
> anything. It may also mean that the lean needs to be released.
>
> Since the reports show only active liens, any liens that have been
> released,

will not be on the report.

Workers' Comp collections for fgn\'s that don\'t have corresponding
liens on LENL

show on the report as \'NO ACTIVE LIEN FOUND\'.

> The Workers' Comp report breaks out the collections by lump sum and
> income assignment. The Personal Injury report shows collections only
> by lump sum since we don't create any I/A liens for personal injuries.
>
> Explanation of Selected fields on the report:
>
> Date Lien Filed - refers to the date the CSED worker files the lien in
> court
>
> Collections: determined as follows -
>
> Workers' Comp -- Payment type 'WC'
>
> (Distribution code 'K' -- I/A)
>
> (Distribution code 'S' -- Lump sum)
>
> Personal Injury - Payment type 'PI'
>
> (Distribution code 'S' -- Lump sum)

Only receipts that have been posted to balances are counted -
undistributed receipts are

excluded. The report month in which the receipts are included is based
on the

entry date of the receipt (not the effective date).

Although valid distribution codes are 'K' and 'S' only, any distribution
codes other than 'K'

are included with the lump sum amounts. However, distribution codes 'A',
'B', 'C' and 'D',

are not included in the report, since they are fees and don't update
financial balances.

System report CE264MER (see below) should indicate if invalid
distribution codes get to

be a problem.

> Total Debt: Total back child support owed as of current day
>
> = Obligation Total -- Current Support Curr Mon, added up for all
>
> obligations (As seen on CFFBI)
>
> Total Monthly Due: All amounts on the CSPAYI screen added up

**[Sample Report -- CE264ML1]{.underline}**

CE264ML1 V02 CY755 STATE OF OKLAHOMA PAGE: 1

RUN DATE: 11/15/2005 DEPARTMENT OF HUMAN SERVICES RUN TIME: 11:15

ACTIVE WORKERS\' COMP LIENS

0 OFFICE: ADA ADA

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

DATE DATE MOST TOTAL WC COLLECTIONS TOTAL WC COLLECTIONS TOTAL

LIEN LIEN RECENT TO DATE 10/2005 TOTAL MONTHLY

NAME FGN/ LN SEQ SRC CREATED FILED COLLECTION LUMP SUM I/A LUMP SUM I/A
DEBT DUE

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

AMOS 396504001 \$.00 \$.00 \$.00 \$.00 \$13,390.05 \$262.55

001 CSLN 10/17/05

COKER 396428001 \$.00 \$.00 \$.00 \$.00 \$112.00 \$.00

001 CSLN 10/17/05

DUNCAN 237829001 \$.00 \$.00 \$.00 \$.00 \$6,533.09 \$447.70

001 CSLN 10/17/05

HAIR 29959002 \$.00 \$.00 \$.00 \$.00 \$7,852.86 \$50.00

001 CSLN 10/17/05

HAIR 29959003 \$.00 \$.00 \$.00 \$.00 \$17,182.29 \$270.00

001 CSLN 10/17/05

JEWELL 178231001 \$.00 \$.00 \$.00 \$.00 \$17,530.77 \$531.02

001 CSLN 10/17/05

KIRK 196476001 \$.00 \$.00 \$.00 \$.00 \$1,977.12 \$46.00

001 WCCOURT 10/20/05

WARE 354975001 \$.00 \$.00 \$.00 \$.00 \$6,641.01 \$687.00

001 CSLN 10/17/05

WARE 354975002 \$.00 \$.00 \$.00 \$.00 \$19,224.74 \$220.00

001 CSLN 10/17/05

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

TOTALS FOR ADA \$.00 \$.00 \$.00 \$.00 \$90,443.93 \$2,514.27

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

WC LIENS TOTAL CREATED 10/2005

COMPSRCE 0 0

WC COURT 1 1

CSLN 8 8

MANUAL 0 0

0\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

\- OFFICE: ALT ALTUS

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

DATE DATE MOST TOTAL WC COLLECTIONS TOTAL WC COLLECTIONS TOTAL

LIEN LIEN RECENT TO DATE 10/2005 TOTAL MONTHLY

NAME FGN/ LN SEQ SRC CREATED FILED COLLECTION LUMP SUM I/A LUMP SUM I/A
DEBT DUE

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

ANTELOPE 275643001 \$.00 \$.00 \$.00 \$.00 \$4,420.00 \$50.00

001 CSLN 10/17/05

BORUNDA 208270001 \$.00 \$.00 \$.00 \$.00 \$3,313.49 \$349.32

001 CSLN 10/17/05

HOVIS 269124001 \$.00 \$.00 \$.00 \$.00 \$5,220.00 \$122.50

001 CSLN 10/17/05

JIMBOY 267577001 \$.00 \$.00 \$.00 \$.00 \$16,499.80 \$699.27

001 CSLN 10/17/05

LIVERS 462917001 \$.00 \$.00 \$.00 \$.00 \$3,015.88 \$238.59

001 CSLN 10/17/05

LIVERS 462917003 \$.00 \$.00 \$.00 \$.00 \$20,563.45 \$234.00

001 CSLN 10/17/05

1CE264ML1 V02 CY755 STATE OF OKLAHOMA PAGE: 2

RUN DATE: 11/15/2005 DEPARTMENT OF HUMAN SERVICES RUN TIME: 11:15

ACTIVE WORKERS\' COMP LIENS

0 OFFICE: ALT ALTUS

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

DATE DATE MOST TOTAL WC COLLECTIONS TOTAL WC COLLECTIONS TOTAL

LIEN LIEN RECENT TO DATE 10/2005 TOTAL MONTHLY

NAME FGN/ LN SEQ SRC CREATED FILED COLLECTION LUMP SUM I/A LUMP SUM I/A
DEBT DUE

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

PERSINGER 273709001 \$.00 \$.00 \$.00 \$.00 \$4,027.20 \$503.40

001 CSLN 10/17/05

SALAZAR 214783001 \$.00 \$.00 \$.00 \$.00 \$450.95 \$172.28

001 COMPSRCE 10/20/05

SHOOK 310505001 \$.00 \$.00 \$.00 \$.00 \$1,068.96 \$162.75

001 CSLN 10/17/05

SHOOK 310505002 \$.00 \$.00 \$.00 \$.00 \$606.16 \$206.04

001 CSLN 10/17/05

WHITE 443563001 \$.00 \$.00 \$.00 \$.00 \$632.28 \$230.54

001 WCCOURT 10/20/05

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

TOTALS FOR ALT \$.00 \$.00 \$.00 \$.00 \$59,818.17 \$2,968.69

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

WC LIENS TOTAL CREATED 10/2005

COMPSRCE 1 1

WC COURT 1 1

CSLN 9 9

MANUAL 0 0

.

.

.

.

.

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

ALL OFFICES \$70,388.54 \$.00 \$39,499.44 \$.00 \$1,016,706.08
\$38,062.11

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

WC LIENS TOTAL CREATED 10/2005

COMPSSRCE 10 10

WC COURT 43 43

CSLN 80 80

MANUAL 20 20

\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*
END OF CE264ML1
\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*

**[Sample Report -- CE264ML2]{.underline}**

CE264ML2 V03 CY755 STATE OF OKLAHOMA PAGE: 1

RUN DATE: 11/15/2005 DEPARTMENT OF HUMAN SERVICES RUN TIME: 14:00

ACTIVE PERSONAL INJURY LIENS

OFFICE: ADA ADA

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

DATE DATE MOST TOTAL PI COLLECTIONS TOTAL PI COLLECTIONS TOTAL

LIEN LIEN RECENT TO DATE 10/2005 TOTAL MONTHLY

NAME FGN/ LN SEQ SRC CREATED FILED COLLECTION LUMP SUM LUMP SUM DEBT DUE

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

BILLY 24637001 \$.00 \$.00 \$28,022.88 \$309.88

001 CSLN 10/17/05

LITTLEAXE 492134001 \$.00 \$.00 \$3,203.80 \$322.37

001 CSLN 10/17/05

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

TOTALS FOR ADA \$.00 \$.00 \$31,226.68 \$632.25

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

PI LIENS TOTAL CREATED 10/2005

CSLN 2 2

MANUAL 0 0

0\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

\- OFFICE: ALT ALTUS

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

DATE DATE MOST TOTAL PI COLLECTIONS TOTAL PI COLLECTIONS TOTAL

LIEN LIEN RECENT TO DATE 10/2005 TOTAL MONTHLY

NAME FGN/ LN SEQ SRC CREATED FILED COLLECTION LUMP SUM LUMP SUM DEBT DUE

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

HILTERBRAND 296576001 \$.00 \$.00 \$6,059.13 \$423.88

001 CSLN 10/17/05

STEVENSON 9412002 \$.00 \$.00 \$.00 \$25.00

001 CSLN 10/17/05

STEVENSON 9412005 \$.00 \$.00 \$9,375.98 \$29.75

001 CSLN 10/17/05

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

TOTALS FOR ALT \$.00 \$.00 \$15,435.11 \$478.63

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

PI LIENS TOTAL CREATED 10/2005

CSLN 3 3

MANUAL 0 0

0\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

0\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

0\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

ALL OFFICES \$34,136.92 \$34,136.92 \$643,881.84 \$18,175.25

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

PI LIENS TOTAL CREATED 10/2005

CSLN 55 55

MANUAL 20 20

0\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

0\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*
END OF CE264ML2
\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*

**[Files sent to STO Office]{.underline}**

CY733D - Refund text file. File is created with (MOD) so that the FTP

process won't overlay any records created on previous days.

This file should be pulled into ACCESS or a similar structure

and then deleted from the server S94x01. The (MOD) feature will

create a new REFUND text file if there isn't one there currently.

FTP Sends file to S94x01\\workgroups\\CSED\\Csed State
Office\\csln_refund_ok.txt

Fields coming from CSLN OSIS CSLN DESCRIPTION

REMB-CLM-SRCHID N/A Y

REMB-CSLNID N/A y (CSLN/SSN + ST IND)

REMB-CLM-NUMBER FCLOTI OF FCRLOTI

Move to FCRPIREC

REMB-DATE-OF-LOSS Y Y Claimant's Date of Loss

REMB-RLSEDATE Y Y Date file sent to OSIS

REMB-SOURCE N/A N/A

REMB-CLMNT-SSN Y Y Claimant's SSN

REMB-APNUM Y Y NCP Number

REMB-DCN Y N DCN Number

REMB-OFC-CD Y N OSIS'S OFFICE CODE

REMB-REASON-MATCH-CD N Y CSLN'S Code when match

Is made by CSLN.

01 HLD-REIMBURSEMENT.

05 REMB-CLM-SRCHID PIC X(11).

05 FILLER PIC X VALUE SPACES.

05 REMB-CSLNID PIC X(10).

\*- - - -(CSLN\'S SSN + STATE INDICATOR)- - -\*

05 FILLER PIC X VALUE SPACES.

05 REMB-CLM-NUMBER PIC X(30).

05 FILLER PIC X VALUE SPACES.

05 REMB-DATE-OF-LOSS PIC X(08).

05 FILLER PIC X VALUE SPACES.

05 REMB-RLSEDATE PIC X(08).

05 FILLER PIC X VALUE SPACES.

05 REMB-SOURCE PIC X(02).

05 FILLER PIC X VALUE SPACES.

\*V05

05 REMB-CLMNT-SSN PIC X(09). V05

05 FILLER PIC X VALUE SPACES. V05

05 REMB-APNUM PIC X(09). V05

05 FILLER PIC X VALUE SPACES. V05

05 REMB-DCN PIC X(09). V05

05 FILLER PIC X VALUE SPACES. V05

05 REMB-OFC-CD PIC X(03). V05

05 FILLER PIC X VALUE SPACES. V07

05 REMB-REASON-MATCH-CD PIC X(10). V07

(For ease of viewing text file a space has been inserted between each
field)

CE264MLR -- Extract file sent to STO office:

A text file of the data that reports CE264ML1 and CE264ML2 are based on
is sent via FTP the CSED state office one per month as part of job
CE264M. Expected use of this file is by program personnel at the STO
office. The location of the file is on the

W drive (workgroups on \'S81a02\') in the csed/csed state office folder.

Name: CE264MLR

Description: WC/PI Active Lien file -- Active liens are those with no
release date

As seen on LENL

Source: OSIS, Monthly Job CE264M

Destination: CSED, STO Folder

Structure: One record for each active WC or PI lien and FGN.

(A record is identified by the Lien Type/FGN/Claim Seq combination)

Collection amounts are the FGN as a whole and are repeated for each lien

within an FGN.

Fields are separated by semi-colons

Records are not sorted in any particular order, but all liens for an NCP
will be

grouped together, sorted by Lien type, then claim sequence, then FGN.

All dates are in CCYYMMDD format

+----------------------+---------+--------+---------------------------+
| FIELD                | T-User  | LENGTH | Comments                  |
+----------------------+---------+--------+---------------------------+
|                      |         |        |                           |
+----------------------+---------+--------+---------------------------+
| Lien type            | Ictype  | 2      | 'WC' or 'PI'              |
+----------------------+---------+--------+---------------------------+
| FGN                  | Cscfgn  | 12     |                           |
+----------------------+---------+--------+---------------------------+
| Office code          | C       | 3      |                           |
|                      | scoffic |        |                           |
+----------------------+---------+--------+---------------------------+
| NCP first name       | D       | 20     |                           |
|                      | cnfname |        |                           |
+----------------------+---------+--------+---------------------------+
| NCP middle name      | D       | 20     |                           |
|                      | cnmname |        |                           |
+----------------------+---------+--------+---------------------------+
| NCP last name        | D       | 20     |                           |
|                      | cnlname |        |                           |
+----------------------+---------+--------+---------------------------+
| Tran type            | Altran  | 2      | Not used -- always spaces |
+----------------------+---------+--------+---------------------------+
| Tran sequence        | Alentsq | 5      | Not used -- always spaces |
+----------------------+---------+--------+---------------------------+
| Tran date            | Alentdt | 8      | Not used -- always spaces |
+----------------------+---------+--------+---------------------------+
| Distribution code    | A       | 1      | Not used -- always spaces |
|                      | ldistcd |        |                           |
+----------------------+---------+--------+---------------------------+
| Monthly due amount   |         | 13     | As seen on CSPAYI -- Add  |
|                      |         |        | up all amounts on the     |
| for fgn              |         |        | screen                    |
+----------------------+---------+--------+---------------------------+
| Total debt for fgn   |         | 13     | As seen on CFFBI --       |
|                      |         |        | Summary for all           |
|                      |         |        | obligations in the FGN,   |
|                      |         |        | of OBLIG TOTAL less       |
|                      |         |        | CURRENT SUPPORT CURR MON  |
+----------------------+---------+--------+---------------------------+
| Claim sequence       | Icseq   | 3      | Sequence number of claim  |
|                      |         |        | as seen on LENL           |
+----------------------+---------+--------+---------------------------+
| Source of insurance  | I       | 10     | 'WCCOURT', 'COMPSRCE',    |
| claim                | csource |        | 'CSLN', or 'MANUAL'       |
+----------------------+---------+--------+---------------------------+
| Lien date            | I       | 8      | Date lien was created on  |
|                      | clndate |        | OSIS                      |
+----------------------+---------+--------+---------------------------+
| Lien filing date     | I       | 8      | Date lien was filed in    |
|                      | clnfldt |        | court by the CSED office  |
+----------------------+---------+--------+---------------------------+
| Lien Print Date      | I       | 8      | Date lien was printed at  |
|                      | clnprdt |        | the CSED office           |
+----------------------+---------+--------+---------------------------+
| Collections to date  |         | 13     | Total lump sum            |
| -- lump sum          |         |        | collections received      |
|                      |         |        | since beginning of time   |
|                      |         |        | for this FGN and lien     |
|                      |         |        | type                      |
+----------------------+---------+--------+---------------------------+
| Collections to date  |         | 13     | Total collections         |
| -- I/A               |         |        | received by income        |
|                      |         |        | assignment since          |
|                      |         |        | beginning of time for     |
|                      |         |        | this FGN and lien and     |
|                      |         |        | lien type (applies to WC  |
|                      |         |        | liens only)               |
+----------------------+---------+--------+---------------------------+
| Collections in       |         | 13     | Total lump sum            |
| report month -- lump |         |        | collections received in   |
| sum                  |         |        | the reporting month for   |
|                      |         |        | this FGN and lien type    |
+----------------------+---------+--------+---------------------------+
| Collections in       |         | 13     | Total I/A collections     |
| report month -- I/A  |         |        | received by income        |
|                      |         |        | assignment for the        |
|                      |         |        | reporting month for this  |
|                      |         |        | FGN and lien type         |
|                      |         |        | (applies to WC liens      |
|                      |         |        | only)                     |
+----------------------+---------+--------+---------------------------+
| Most Recent          |         | 8      | Date of most recent       |
| Collection Date      |         |        | collection received for   |
|                      |         |        | this FGN and lien type    |
+----------------------+---------+--------+---------------------------+

> Job CE264M will also create an error report, CE264MER.
>
> This report will list all receipts in OSIS that have WC or PI as
>
> payment type but with an invalid distribution type to go with it
>
> In other words, any WC/PI receipts going back to the beginning of time
> that violate the valid payment type/ distribution code combinations,
> which are:
>
> WC/S
>
> WC/K
>
> PI/S
>
> The purpose of the report is to see if WC/PI receipts with invalid
> Payment type/Distribution Code combinations are a problem on the
> system. The report is sorted by date so it can be seen if the errors
> are all in the past or if it is an on-going problem.
>
> Note: The Active Lien and Collection Reports process [all]{.underline}
> receipts with payment types WC or PI except undistributed receipts.
> Other than undistributed, all WC/PI
>
> receipts are considered 'Lump Sum' (dist code 'S') if they are not I/A
>
> (dist code 'K').
>
> A sample of the report can be found in the 'System Reports' part of
> the 'List of Repots' section, below.

[**List of** **Reports **]{.underline}

[User Reports]{.underline}**:**

These reports are meant for use by the child support offices.

Samples of the reports can be found in the Batch Processing section.

  ---------- ----------------- -------------------------------------------
  Report ID  Report Name       Report Information

  CE264MC1   Monthly WC        Report of total collections received for
             Collections       Workers' Comp claims in the last 12 months
             Report            -- by office and month.

  CE264MC2   Monthly PI        Report of total collections received for
             Collections       Personal Injury claims in the last 12
             Report            months -- by office and month.

  CE264MC3   Monthly FIDM      Report of total collections received for
             Collections       FIDM levies claims in the last 12 months --
             Report            by office and month.

  CE264ML1   Monthly WC Active Lists all Workers' Comp liens active as of
             Lien Report       the end of the latest complete month, by
                               office and FGN name within the office.
                               Lists the date the liens were received, the
                               total collections received to date, the
                               total collections received last month, the
                               total debt owed by the FGN, and the total
                               monthly due owed by the FGN. Collections
                               are shown by FGN as a whole rather than by
                               individual liens and separated into lump
                               sum (K/WC) and income assignment (S/WC)
                               totals.

  CE264ML2   Monthly PI Active Lists all Personal Injury liens active as
             Lien Report       of the end of the latest complete month, by
                               office and FGN name within the office.
                               Lists the date the liens were received, the
                               total collections received to date, the
                               total collections received last month, the
                               total debt owed by the FGN, and the total
                               monthly due owed by the FGN. Collections
                               are shown by FGN as a whole rather than by
                               individual liens. All Personal Injury
                               collections are lump sum (S/PI).

  CY740R01   Existing Workers  Lists workers' compensation liens that
             Comp Liens        existed in OSIS prior to the new system
                               (December, 2005) .

  CY783D01   Lien Creation     Lists liens created and updated
             Report            
  ---------- ----------------- -------------------------------------------

Note: Samples of the user reports can be found under CE264M and CY740R
in the 'Batch Processing' section. Sample of report CY783D01 can be
found below:

1REPORT: CY783D01 OKLAHOMA DHS - CHILD SUPPORT ENFORCEMENT RUN DATE:
02/13/06

PROGRAM: CY826 WORKERS\' COMP / PERSONAL INJURY RUN TIME: 12:55

JOB: CY783D DAILY LIEN CREATION REPORT SYSID: IMSTEST

OFFICE: TUW

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

\|NOTES: \|

\| \|

\| COLUMN HEADERS: \|

\| NCP NAME: NAME OF NCP WITH INSURANCE CLAIM \|

\| FGN FGN IN LIEN \|

\| LIEN SEQ: LIEN SEQUENCE AS (SEEN ON LENL) \|

\| LIEN TYPE: WC OR PI \|

\| LIEN STAT: NEW - NEW LIEN CREATED \|

\| UPD - EXISTING LIEN UPDATED \|

\| I/A ONLY: NO ARREARS - ONLY I/A GENERATED \|

\| INS STAT: INSURER STATUS: \|

\| BLANK - OK \|

\| UPD - ADDED OR UPDATED \|

\| NG - NOT GIVEN \|

\| ??? - QUESTIONABLE ADDRESS \|

\| EMP STAT: EMPLOYER STATUS - SAME AS ABOVE \|

\| ATTY STAT: ATTORNEY STATUS - SAME AS ABOVE \|

\| CLM#: BLANK - OK \|

\| UPD - CLAIM NUMBER ADDED FROM INSURANCE COMPANY \|

\| CRT#: BLANK - OK \|

\| UPD - COURT NUMBER ADDED FROM WORKERS\' COMP COURT \|

\| \|

\| QUESTIONABLE ADDRESSES - MAILING SOFTWARE DIDN\'T RETURN A 9 CHAR ZIP
CODE \|

\| LIENS NEEDING REVIEW: \|

\| WC LIENS WITH NO INSURER OR NO EMPLOYER \|

\| PI LIENS WITH NO INSURER \|

\| UPDATED LIENS (UNLESS COURT NUMBER WAS ADDED) \|

\| I/A ONLY LIENS - I/A NOTICES WILL BE MAILED FROM HOST IN TWO DAYS \|

\| UNLESS IA ALREADY EXISTS AND PAYMENTS ARE CURRENT \|

\| PRINTED LIENS: \|

\| LIENS ARE NEW, HAVE A NEW COURT NUMBER, OR HAVE NOT BEEN PRINTED YET
\|

\| AND \|

\| LIENS HAVE BOTH INSURER AND EMPLOYER, NO QUESTIONABLE ADDRESSES, \|

\| AND ARE NOT I/A ONLY \|

\| REPORT FOR ALL OFFICES CAN BE FOUND IN DOCUMENT DIRECT, REPORT
CY783D01 \|

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

1OFFICE: TUW

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

\|LN \| LN \|LIEN \|INS \|EMP \|ATTY \|CLM#\|CRT#\|

NCP NAME WORKER FGN \|SEQ\|TYPE\|STAT \|STAT \|STAT \|STAT
\|STAT\|STAT\|

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

\| \| \| \| \| \| \| \| \|

PRINTED LIENS: \| \| \| \| \| \| \| \| \|

GARCIA, MARIA U57319 0246621001 \|001\| WC \| NEW \| \| \| \| NG \| \|

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

TOTALS FOR TUW OFFICE:

NEW LIENS\...\...\...\...\...\...\..... 1

UPDATED LIENS\...\...\...\...\...\.... 0

LIENS NEEDING REVIEW\...\...\...\... 0

I/A ONLY LIENS\...\...\...\...\...\... 0

PRINTED LIENS\...\...\...\...\...\.... 1

LIENS W/QUESTIONABLE ADDRESSES.. 0

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

1REPORT: CY783D01 OKLAHOMA DHS - CHILD SUPPORT ENFORCEMENT RUN DATE:
02/13/06

PROGRAM: CY826 WORKERS\' COMP / PERSONAL INJURY RUN TIME: 12:55

JOB: CY783D DAILY LIEN CREATION REPORT SYSID: IMSTEST

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

TOTALS FOR ALL OFFICES:

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

NEW LIENS\...\...\...\...\...\...\..... 1

UPDATED LIENS\...\...\...\...\...\.... 0

LIENS NEEDING REVIEW\...\...\...\... 0

I/A ONLY LIENS\...\...\...\...\...\... 0

PRINTED LIENS\...\...\...\...\...\.... 1

LIENS W/QUESTIONABLE ADDRESSES.. 0

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

END REPORT CY783D01

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

[System Reports]{.underline}**:**

These reports are meant for use by anyone (programmer, STO personnel,
user) who is trouble-shooting problems with having to do with claims
coming in through batch and with liens and I/A notices being created as
a result, and are reports are not meant for regular use by users.
Samples of the reports follow the list below.

+---------+----------------+------------------------------------------+
| Report  | Report Name    | Report Information                       |
| ID      |                |                                          |
+---------+----------------+------------------------------------------+
| C       | WC/PI invalid  | List all receipts in OSIS that have WC   |
| E264MER | Receipt        | or PI as a payment type but with an      |
|         |                | invalid distribution type to go with it. |
|         | Report         |                                          |
+---------+----------------+------------------------------------------+
| C       | CSLN Exception | Displays FGNs that met the criteria for  |
| Y691R01 | Report         | a match from CSLN, but for some reason   |
|         |                | OSIS could not process. The report lists |
|         |                | the cause, such as invalid SSN or DCN.   |
+---------+----------------+------------------------------------------+
| C       | Daily CSLN     | Lists the claim records received from    |
| Y720DLN | Workers' Comp  | CSLN, the resulting liens created on     |
|         | and Personal   | OSIS and any that could not be created.  |
|         | Injury Lien    | No report will be created on days in     |
|         | Creation       | which no file is received from CSLN.     |
|         | Report         |                                          |
+---------+----------------+------------------------------------------+
| C       | Monthly        | Lists claim records received from        |
| Y720MCS | CompSource     | CompSource, the resulting liens created  |
|         | Workers' Comp  | on OSIS, and any that could not be       |
|         | Lien Creation  | created.                                 |
|         | Report         |                                          |
+---------+----------------+------------------------------------------+
| C       | Monthly WC     | Lists claim records received from        |
| Y720MWC | Court Lien     | Workers' Comp Court,the resulting liens  |
|         | Creation       | created on OSIS, and any that could not  |
|         | Report         | be created.                              |
+---------+----------------+------------------------------------------+
| C       | Monthly sweep  | Lists liens created on OSIS resulting    |
| Y720MNT | of all claim   | from old claims that had not qualified   |
|         | records        | for lien creation previously but do      |
|         | received in    | currently. Also lists liens that could   |
|         | the past two   | not be created.                          |
|         | years          |                                          |
+---------+----------------+------------------------------------------+
| C       | CSWC NOIA      | Lists new automated I/A notices          |
| Y741R01 | Analyzer       | generated for Workers' Comp Liens.       |
+---------+----------------+------------------------------------------+

> Sample System Reports:

CE264MER DHS - CHILD SUPPORT ENFORCEMENT DATE: 11/14/05

CE264M INVALID DIST. CODE ERROR REPORT PAGE: 0001

CY817

0 NCP LAST NAME FIRST NAME AMOUNT NCP RECEIPT DATE PMT TYP DISTCD ERROR
CODE USERID TRAN PROGRAM

DAVIS RYAN 36.57 000006747 10/31/2005 PI K INV DISTCD CX085 CX085 CX085

WEDGEWORTH LARRY 34.62 000195320 10/27/2005 WC K NO LIEN CX085 CX085
CX085

WILLIAMS JEFFREY 100.00 000000067 10/27/2005 WC K NO LIEN CX085 CX085
CX085

DAILEY FRED 51.47 000000053 10/27/2005 WC U INV DISTCD CX085 CX085 CX085

GLOVER TENESHA 64.00 000000008 10/27/2005 WC U INV DISTCD CX085 CX085
CX085

AMOS AMBER 2,002.02 000396504 09/22/2005 PI K INV DISTCD U58791 CFRXDEF
CE396

SHIELDS MARK 277.12 000000992 07/06/2005 WC J INV DISTCD CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 06/22/2005 WC U INV DISTCD CX085 CX085
CX085

JABLINSKE ROBERT 18.21 000024751 03/29/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 03/24/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 03/16/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 03/09/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 03/02/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 18.80 000024751 02/24/2005 WC K NO LIEN U64505 CFRXDEF
CE396

JABLINSKE ROBERT 55.22 000024751 02/23/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 02/16/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 02/10/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 02/02/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 36.42 000024751 01/26/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 01/19/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 01/12/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 01/07/2005 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 37.01 000024751 01/05/2005 WC K NO LIEN CN601 CN601
CN601

JABLINSKE ROBERT 18.21 000024751 12/30/2004 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 12/22/2004 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 12/15/2004 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 12/08/2004 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 1.11 000024751 12/03/2004 WC K NO LIEN U55559 CFRXDEF
CE396

JABLINSKE ROBERT 55.22 000024751 12/01/2004 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 54.11 000024751 11/24/2004 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 11/17/2004 WC K NO LIEN CX085 CX085
CX085

JABLINSKE ROBERT 55.22 000024751 11/12/2004 WC K NO LIEN CX085 CX085
CX085

DOUGLAS JOEL 75.33 000142917 11/05/2004 WC K NO LIEN CX085 CX085 CX085

JABLINSKE ROBERT 19.32 000024751 11/05/2004 WC K NO LIEN CN601 CN601
CN601

JABLINSKE ROBERT 55.22 000024751 11/03/2004 WC K NO LIEN CX085 CX085
CX085

DOUGLAS JOEL 75.33 000142917 10/29/2004 WC K NO LIEN CX085 CX085 CX085

DOUGLAS JOEL 30.95 000142917 10/29/2004 WC K NO LIEN CX085 CX085 CX085

JABLINSKE ROBERT 35.90 000024751 10/27/2004 WC K NO LIEN CX085 CX085
CX085

DOUGLAS JOEL 30.95 000142917 10/22/2004 WC K NO LIEN CX085 CX085 CX085

DOUGLAS JOEL 75.33 000142917 10/22/2004 WC K NO LIEN CX085 CX085 CX085

JABLINSKE ROBERT 55.22 000024751 10/20/2004 WC K NO LIEN CX085 CX085
CX085

THOMAS ROYCE 3,128.43 000027237 10/19/2004 WC K NO LIEN CX085 CX085
CX085

GEORGE JOHN 59.15 000024224 10/18/2004 WC K NO LIEN CX085 CX085 CX085

DOUGLAS JOEL 75.33 000142917 10/15/2004 WC K NO LIEN CX085 CX085 CX085

DOUGLAS JOEL 30.95 000142917 10/15/2004 WC K NO LIEN CX085 CX085 CX085

JABLINSKE ROBERT 55.22 000024751 10/14/2004 WC K NO LIEN CX085 CX085
CX085

PATCHELL EDWARD 119.31 000292352 10/08/2004 WC K NO LIEN CX085 CX085
CX085

DOUGLAS JOEL 75.33 000142917 10/08/2004 WC K NO LIEN CX085 CX085 CX085

DOUGLAS JOEL 30.95 000142917 10/08/2004 WC K NO LIEN CX085 CX085 CX085

GEORGE JOHN 59.15 000024224 10/08/2004 WC K NO LIEN CX085 CX085 CX085

JABLINSKE ROBERT 55.22 000024751 10/06/2004 WC K NO LIEN CX085 CX085
CX085

.

.

.

.

1 CE264MER DHS - CHILD SUPPORT ENFORCEMENT DATE: 11/14/05

CE264M INVALID DIST. CODE ERROR REPORT PAGE: 0012

CY817

0 NCP LAST NAME FIRST NAME AMOUNT NCP RECEIPT DATE PMT TYP DISTCD ERROR
CODE USERID TRAN PROGRAM

\-

0 COUNT AMOUNT

0 INVALID DIST. CODES FOR PAYMENT TYPE WC\...\... 05 478.76

INVALID DIST. CODES FOR PAYMENT TYPE PI\...\... 02 2,038.59

NO LIENS FOUND FOR PAYMENT TYPE WC\...\...\..... 565 79,132.56

NO LIENS FOUND FOR PAYMENT TYPE PI\...\...\..... 00 0.00

\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_

0 TOTALS\...\...\...\...\...\...\...\...\...\...\...\..... 572 81,649.91

\- INV DISTCD - PAYMENT TYPE WC AND DISTRIBUTION CODE

NOT K OR S OR PAYMENT TYPE PI AND

DISTRIBUTION CODE NOT S

0 NO LIEN - NO ACTIVE WC LIEN FOUND FOR THE FGN

OR NO ACTIVE PI LIEN FOUND FOR THE FGN

CY691R01 V06 OKLAHOMA DHS - CSED

RUN DATE: 07/20/2005 DEPARTMENT OF HUMAN SERVICES OFFICE CODE:CHI CSLN
EXCEPTION REPORT PAGE: 1

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(MM/DD/YY)\_\_\_\_\_\_\_

NOMENCLATURE FGN# SSN# DCN# BNKRPTCY FILED

INVALID SSN 000232253001 008020877

EXCEPTION TOTAL BY OFC: 1

CY691R01 V06 OKLAHOMA DHS - CSED

RUN DATE: 07/20/2005 DEPARTMENT OF HUMAN SERVICES OFFICE CODE:DUR CSLN
EXCEPTION REPORT PAGE: 2

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(MM/DD/YY)\_\_\_\_\_\_\_

NOMENCLATURE FGN# SSN# DCN# BNKRPTCY FILED

INVALID SSN 000397174001 031368342

EXCEPTION TOTAL BY OFC: 1

CY691R01 V06 OKLAHOMA DHS - CSED

RUN DATE: 07/20/2005 DEPARTMENT OF HUMAN SERVICES OFFICE CODE:PAU CSLN
EXCEPTION REPORT PAGE: 3

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(MM/DD/YY)\_\_\_\_\_\_\_

NOMENCLATURE FGN# SSN# DCN# BNKRPTCY FILED

INVALID SSN 000370950001 024783591

INVALID SSN 000427857001 033334061

EXCEPTION TOTAL BY OFC: 2

CY691R01 V06 OKLAHOMA DHS - CSED

RUN DATE: 07/20/2005 DEPARTMENT OF HUMAN SERVICES OFFICE CODE:PON CSLN
EXCEPTION REPORT PAGE: 4

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(MM/DD/YY)\_\_\_\_\_\_\_

NOMENCLATURE FGN# SSN# DCN# BNKRPTCY FILED

INVALID SSN AND DCN 000440262001

EXCEPTION TOTAL BY OFC: 1

CY691R01 V06 OKLAHOMA DHS - CSED

RUN DATE: 07/20/2005 DEPARTMENT OF HUMAN SERVICES OFFICE CODE:TUW CSLN
EXCEPTION REPORT PAGE: 5

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(MM/DD/YY)\_\_\_\_\_\_\_
NOMENCLATURE FGN# SSN# DCN# BNKRPTCY FILED

INVALID SSN 000465802001 037413316

EXCEPTION TOTAL BY OFC: 1

The following report CY741R01 is output from the Workers' Compensation
Income

Assignment Analyzer. It shows most of the automated actions taken by the
Analyzer.

Note the Information Description gives a brief note on what the Analyzer
did with

the case. This report will be on RDS for Workers to observe.

1 CY741R01 V01 OKLAHOMA DEPARTMENT OF HUMAN SERVICES PAGE 1

RUN DATE 05/16/05 CHILD SUPPORT ENFORCEMENT DIVISION

CSWC NOIA ANALYZER

CLAIM

OFC WORKER FGN SEQ INFORMATION DESCRIPTION

\-\-- \-\-\-\-\-- \-\-\-\-\-\-\-\-\-\-\-- \-\--
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

DUN U55663 000000118001 CASE HAS POTENTIAL CLOSURE REASON - 15

LAW U56682 000000118002 CASE HAS POTENTIAL CLOSURE REASON - 15

CHI U52810 000000214002 CASE HAS POTENTIAL CLOSURE REASON - 15

DUN U54030 000000452005 FGN HAS NO ENFORCEABLE OBLIGATION

CHI U52810 000002402002 001 CSWCNOIA CSWCIAI TO INSURER WAS GENERATED

CHI U52810 000002402002 001 CSWCNOIA CSWCIAIL ATTORNEY COPY GENERATED

CHI U52810 000002402002 001 CSWCNOIA CSWCIAIE EMPLOYER COPY GENERATED

OKB U36758 000003141002 FGN HAS NO ENFORCEABLE OBLIGATION

CHI U56684 000004864001 001 CSWCNOIA CSWCIAI TO INSURER WAS GENERATED

CHI U56684 000004864001 001 CSWCNOIA CSWCIAIL ATTORNEY COPY GENERATED

CHI U56684 000004864001 001 CSWCNOIA CSWCIAIE EMPLOYER COPY GENERATED

CHI U64868 000005233001 OUTGOING INTERSTATE, STATE IS - NV, NOT ELIGIBLE
CSWCNOIA

ALT U46293 000007320001 001 CSWCNOIA CSWCIAI TO INSURER WAS GENERATED

ALT U46293 000007320001 001 CSWCNOIA CSWCIAIL ATTORNEY COPY GENERATED

ALT U46293 000007320001 001 CSWCNOIA CSWCIAIE EMPLOYER COPY GENERATED

ALT U52064 000007747001 002 FGN HAS CLAIM WCNOIA IN SELECTED STATUS

The following is a sample of report CY720MNT. It also serves here as a
sample of Reports CY720MCS, CY720MWC, and CY720DLN since they all have
the same format.

Fields on the report:

OFC -- CSED office to which the case belongs (as seen on CSML)

FGN -- Case for which a lien will be created if all conditions are
passed

As listed under 'CX794M, CX977M, CY720M, CY733D' in the 'batch

Processing' section. (All fgn's under the NCP given in the claim

Are considered for liens).

LIEN SEQ -- sequence number of lien as seen on LENL

DATE RECD -- Date claim was recived in OSIS from the oputside agency

TYPE -- Type of claim -- WC -- Workers' Comp

PI -- Personal Injury

SOURCE -- Outside agency sending the claim (CSLN, CompSource, or wc
court)

DESCRIPTION -- Indicates if lien was created and if not why

CLAIM NUMBER -- Insurance Claim number if source is CSLN or CompSource.

Workers' Comp court file number if source is WC Court.

CY720MNT OKLAHOMA DEPARTMENT OF HUMAN SERVICES RUN DATE: 11/17/05

JOB: CY720M CHILD SUPPORT ENFORCEMENT DIVISION RUN TIME: 17:20

JOB TO CREATE INSURANCE CLAIM LIENS

CLAIM RECORDS RECEIVED SINCE 11/18/2003

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

LIEN DATE

OFC FGN SEQ RECD TYPE SOURCE DESCRIPTION CLAIM NUMBER

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

ARD 000245536001 001 102005 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2002-16323X

ARD 000245536001 001 102005 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2002-16323X

ARD 000245536001 001 102005 WC WCCOURT RECORD SUMMARY - CLAIM ALREADY
EXISTS - NO CHANGE 2002-16323X

ARD 000387144003 001 102005 WC COMPSRCE FINALIST ERROR ON ATTORNEY
ADDRESS 0012085210210

ARD 000387144003 001 102005 WC COMPSRCE INVALID ATTORNEY ADDRESS OR NAME
0012085210210

ARD 000387144002 001 102005 WC COMPSRCE LIEN CREATED 0012085210210

ARD 000387144002 001 102005 WC COMPSRCE PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 0012085210210

ARD 000387144002 001 102005 WC COMPSRCE PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 0012085210210

ARD 000387144003 001 102005 WC COMPSRCE RECORD SUMMARY - CLAIM CREATED
0012085210210

ARD 000387144002 001 102005 WC COMPSRCE INVALID ATTORNEY ADDRESS OR NAME
0012085210210

ARD 000387144002 001 102005 WC COMPSRCE PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 0012085210210

ARD 000387144002 001 102005 WC COMPSRCE PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 0012085210210

ARD 000387144002 001 102005 WC COMPSRCE RECORD SUMMARY - CLAIM ALREADY
EXISTS - NO CHANGE 0012085210210

ARD 000387144001 001 102005 WC COMPSRCE INVALID ATTORNEY ADDRESS OR NAME
0012085210210

ARD 000387144002 001 102005 WC COMPSRCE PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 0012085210210

ARD 000387144002 001 102005 WC COMPSRCE PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 0012085210210

ARD 000387144001 001 102005 WC COMPSRCE RECORD SUMMARY - CLAIM ALREADY
EXISTS - NO CHANGE 0012085210210

OKC 000214316001 001 101805 WC WCCOURT LIEN CREATED (NO ARREARS - I/A
ONLY) 2004-03819L

STO 000214316002 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM CREATED
2004-03819L

TUW 000184801001 001 101805 WC WCCOURT LIEN CREATED 2003-04710X

TUW 000184801001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2003-04710X

TUW 000184801001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2003-04710X

OKA 000184801001 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM CREATED
2003-04710X

TUW 000184801001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2003-04710X

TUW 000184801001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2003-04710X

SCR 000184801002 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM ALREADY
EXISTS - NO CHANGE 2003-04710X

TUW 000184801001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2003-04710X

TUW 000184801001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2003-04710X

SCR 000184801002 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM ALREADY
EXISTS - NO CHANGE 2003-04710X

SRU 000301757001 101805 WC WCCOURT NO ACTIVE FGNS FOUND FOR NCP
2002-13586Q

SRU 000301757001 101805 WC WCCOURT RECORD SUMMARY - ERROR: CLAIM COULD
NOT BE CREATED 2002-13586Q

TUW 000184801001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2003-04710X

TUW 000184801001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2003-04710X

SCR 000184801002 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM ALREADY
EXISTS - NO CHANGE 2003-04710X

TUW 000184801001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2003-04710X

TUW 000184801001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2003-04710X

SCR 000184801002 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM ALREADY
EXISTS - NO CHANGE 2003-04710X

SRU 000301757001 101805 WC WCCOURT NO ACTIVE FGNS FOUND FOR NCP
2002-13586Q

SRU 000301757001 101805 WC WCCOURT RECORD SUMMARY - ERROR: CLAIM COULD
NOT BE CREATED 2002-13586Q

TUW 000077151001 001 101805 WC WCCOURT LIEN CREATED 2005-04678J

TUW 000077151001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2005-04678J

TUW 000077151001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2005-04678J

TUW 000077151002 001 101805 WC WCCOURT LIEN CREATED 2005-04678J

TUW 000077151002 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2005-04678J

TUW 000077151002 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2005-04678J

TUW 000077151004 001 101805 WC WCCOURT LIEN CREATED 2005-04678J

TUW 000077151004 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2005-04678J

TUW 000077151004 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2005-04678J

TUW 000077151005 001 101805 WC WCCOURT LIEN CREATED 2005-04678J

TUW 000077151005 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2005-04678J

TUW 000077151005 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2005-04678J

TUW 000077151006 001 101805 WC WCCOURT LIEN CREATED 2005-04678J

TUW 000077151006 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2005-04678J

TUW 000077151006 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2005-04678J

TUW 000077151001 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM CREATED
2005-04678J

SRU 000188866001 101805 WC WCCOURT NO ACTIVE FGNS FOUND FOR NCP
2003-06611F

SRU 000188866001 101805 WC WCCOURT RECORD SUMMARY - ERROR: CLAIM COULD
NOT BE CREATED 2003-06611F

SRU 000188866001 101805 WC WCCOURT NO ACTIVE FGNS FOUND FOR NCP
2003-06611F

SRU 000188866001 101805 WC WCCOURT RECORD SUMMARY - ERROR: CLAIM COULD
NOT BE CREATED 2003-06611F

SRU 000188866001 101805 WC WCCOURT NO ACTIVE FGNS FOUND FOR NCP
2003-06611F

SRU 000188866001 101805 WC WCCOURT RECORD SUMMARY - ERROR: CLAIM COULD
NOT BE CREATED 2003-06611F

SRU 000188866001 101805 WC WCCOURT NO ACTIVE FGNS FOUND FOR NCP
2003-06611F

SRU 000188866001 101805 WC WCCOURT RECORD SUMMARY - ERROR: CLAIM COULD
NOT BE CREATED 2003-06611F

.

.

.

.

.

.

.

ARD 000048387001 001 101805 WC WCCOURT LIEN CREATED 2000-14034Q

ARD 000048387001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2000-14034Q

ARD 000048387001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2000-14034Q

ARD 000048387001 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM CREATED
2000-14034Q

ARD 000048387001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2000-14034Q

ARD 000048387001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2000-14034Q

ARD 000048387002 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM ALREADY
EXISTS - NO CHANGE 2000-14034Q

ARD 000048387001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2000-14034Q

ARD 000048387001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2000-14034Q

ARD 000048387001 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM ALREADY
EXISTS - NO CHANGE 2000-14034Q

ARD 000048387001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2000-14034Q

ARD 000048387001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2000-14034Q

ARD 000048387002 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM ALREADY
EXISTS - NO CHANGE 2000-14034Q

STO 000402744002 001 101805 WC WCCOURT FINALIST ERROR ON EMPLOYER
ADDRESS 2003-10422K

LAW 000402744001 001 101805 WC WCCOURT LIEN CREATED 2003-10422K

LAW 000402744001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCC NOTICE 2003-10422K

LAW 000402744001 001 101805 WC WCCOURT PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 2003-10422K

STO 000402744002 001 101805 WC WCCOURT RECORD SUMMARY - CLAIM CREATED
2003-10422K

TUW 000381250001 001 101805 WC WCCOURT LIEN CREATED 2004-11899K

NOR 000243873 001 110405 PI CSLN RECORD SUMMARY - CLAIM CREATED
XC9055284903

MIA 000249728001 001 110405 PI CSLN LIEN CREATED 06A013521538

MIA 000249728001 001 110405 PI CSLN PRINT FILE RECORD WRITTEN FOR CSLPI
NOTICE 06A013521538

MIA 000249728 001 110405 PI CSLN RECORD SUMMARY - CLAIM CREATED
06A013521538

OKA 000266156001 001 110405 PI CSLN LIEN CREATED MM00076325936

OKA 000266156001 001 110405 PI CSLN PRINT FILE RECORD WRITTEN FOR CSLPI
NOTICE MM00076325936

OKA 000266156 001 110405 PI CSLN RECORD SUMMARY - CLAIM CREATED
MM00076325936

ALT 000276623002 001 110405 PI CSLN LIEN CREATED 011AWJ1899

ALT 000276623002 001 110405 PI CSLN PRINT FILE RECORD WRITTEN FOR CSLPI
NOTICE 011AWJ1899

ALT 000276623 001 110405 PI CSLN RECORD SUMMARY - CLAIM CREATED
011AWJ1899

ARD 000277994001 001 110405 PI CSLN LIEN CREATED PA0001274961

ARD 000277994001 001 110405 PI CSLN PRINT FILE RECORD WRITTEN FOR CSLPI
NOTICE PA0001274961

ARD 000277994002 001 110405 PI CSLN LIEN CREATED PA0001274961

ARD 000277994002 001 110405 PI CSLN PRINT FILE RECORD WRITTEN FOR CSLPI
NOTICE PA0001274961

ARD 000277994 001 110405 PI CSLN RECORD SUMMARY - CLAIM CREATED
PA0001274961

MUS 000497906001 001 110405 WC CSLN PRINT FILE RECORD WRITTEN FOR CSLWCC
NOTICE AQS0450001

MUS 000497906001 001 110405 WC CSLN PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE AQS0450001

MUS 000497906 001 110405 WC CSLN RECORD SUMMARY - CLAIM ALREADY EXISTS -
NO CHANGE AQS0450001

OKA 000500921001 001 110405 WC CSLN PRINT FILE RECORD WRITTEN FOR CSLWCC
NOTICE 05702343

OKA 000500921001 001 110405 WC CSLN PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE 05702343

OKA 000500921 001 110405 WC CSLN RECORD SUMMARY - CLAIM ALREADY EXISTS -
NO CHANGE 05702343

OKA 000512419 001 110405 WC CSLN INVALID INSURER ADDRESS OR NAME
WC55049998600

OKA 000512419001 001 110405 WC CSLN PRINT FILE RECORD WRITTEN FOR CSLWCC
NOTICE WC55049998600

OKA 000512419001 001 110405 WC CSLN PRINT FILE RECORD WRITTEN FOR
CSLWCEA NOTICE WC55049998600

OKA 000512419 001 110405 WC CSLN RECORD SUMMARY - CLAIM ALREADY EXISTS -
NO CHANGE WC55049998600

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

CLAIM RECORD TOTALS

TOTAL RECORDS READ FROM FCR\...\...\..... 640

========

WORKERS\' COMP COURT RECORDS READ\...\... 417

COMPSOURCE RECORDS READ\...\...\...\...\... 74

CSLN RECORDS READ\...\...\...\...\...\...\... 149

OTHER RECORDS READ\...\...\...\...\...\..... 0

LESS RECS SKIPPED - NOT REQUESTED NCP. 0

LESS RECS SKIPPED - NOT IN REQ OFFICE. 0

\-\-\-\-\-\-\--

NET RECORDS TO BE PROCESSED\...\...\..... 640

========

WC CLAIMS CREATED FROM COURT RECS\..... 58

WC CLAIMS CREATED FROM COMPSRCE RECS.. 12

WC CLAIMS CREATED FROM CSLN RECS\...\... 5

PI CLAIMS CREATED FROM CSLN RECS\...\... 65

CLAIMS UPDATED\...\...\...\...\...\...\...\... 4

CLAIMS ALREADY EXISTING - NO CHANGE\... 331

CLAIM RECORDS WITH ERRORS\...\...\...\.... 165

\-\-\-\-\-\-\--

TOTAL RECORDS PROCESSED\...\...\...\...\... 640

========

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

MESSAGE TOTALS

LIENS CREATED FOR FGNS WITH DEBT\...\... 185

LIENS CREATED FOR FGNS WITH NO DEBT\... 7

CSLWCC PRINT FILE RECS WRITTEN\...\..... 654

CSLWCEA PRINT FILE RECS WRITTEN\...\.... 654

CSLPI PRINT FILE RECS WRITTEN\...\...\... 86

CSWCTRGB TRANSACTIONS SCHEDULED\...\.... 144

MULTIPLE CSLN RECORDS FOR SAME CLAIM.. 0

CSLN RECORDS UPDATING NON CSLN CLAIMS. 0

UPDATED INSURANCE CLAIM NUMBERS\...\.... 1

UPDATED INJURY DATES\...\...\...\...\...\... 0

UPDATED COURT FILE NUMBERS\...\...\...\... 2

UPDATED INSURANCE CLAIM DATES\...\...\... 0

UPDATED COURT FILE DATES\...\...\...\..... 0

UPDATED INSURER NAMES OR ADDRESSES\.... 2

UPDATED EMPLOYER NAMES OR ADDRESSES\... 0

UPDATED ATTORNEY NAMES OR ADDRESSES\... 0

UPDATED INSURER CONTACT NAMES\...\...\... 0

UPDATED INSURER CONTACT FAX NUMBERS\... 0

UPDATED INSURER CONTACT EMAIL ADDRS\... 0

UPDATED INSURER FEI NUMBERS\...\...\..... 0

UPDATED EMPLOYER FEI NUMBERS\...\...\.... 2

RECORDS FOR WHICH NCP WAS NOT FOUND\... 39

RECORDS FOR WHICH NO FGN WAS FOUND\.... 0

RECORDS WITH INVALID WC REC TYPE\...\... 0

RECORDS WITH NO CLAIM NUMBER\...\...\.... 0

RECORDS WITH NO VALID INS OR EMP\...\... 0

RECORDS WITH NO ACTIVE FGNS\...\...\..... 0

RECORDS WITH INVALID INJURY DATE\...\... 0

RECORDS WITH INVALID FILE DATE\...\..... 0

RECS WITH INVALID INS NAME AND ADDR\... 19

RECS WITH INVALID EMP NAME AND ADDR\... 0

RECS WITH INVALID ATY NAME AND ADDR\... 49

RECS WITH FINALIST ERROR ON INSURER\... 13

RECS WITH FINALIST ERROR ON EMPLOYER.. 7

RECS WITH FINALIST ERROR ON ATTORNEY.. 10

\-\-\-\-\-\-\--

TOTAL MESSAGES\...\...\...\...\...\...\...\... 2,535

========

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

SYSTEM COUNTS

SYNCPOINTS TAKEN\...\...\...\...\...\...\.... 26

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

PROGRAM PARAMETERS

AGE OF DATA LIMIT (DAYS): 0730 (DATE): 20031118

OFFICES: ALL

NCP: ALL

JOB: CY720M

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

END CY720R01

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

+------------+-------------+---+--------------------------------------+
| **OSIS     |             |   |                                      |
| Workers'   |             |   |                                      |
| Comp/      |             |   |                                      |
| Personal   |             |   |                                      |
| Injury     |             |   |                                      |
| Data       |             |   |                                      |
| Elements** |             |   |                                      |
+============+=============+===+======================================+
| Field Name | Field       | L | Comments                             |
|            | Description | e |                                      |
|            |             | n |                                      |
|            |             | g |                                      |
|            |             | t |                                      |
|            |             | h |                                      |
+------------+-------------+---+--------------------------------------+
| > ICTYPE   | INSurance   | 2 | 'WC' - WORKERS\' COMP 'PI' -         |
|            | CLAIM TYPE  |   | PERSONAL INJURY                      |
+------------+-------------+---+--------------------------------------+
| > ICSEQ    | Insurance   | 3 |                                      |
|            | Claim       |   |                                      |
|            | Sequence    |   |                                      |
+------------+-------------+---+--------------------------------------+
| > CSCAPNUM | Non         | 9 |                                      |
|            | Custodial   |   |                                      |
|            | Parent      |   |                                      |
|            | Number      |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICSOURCE | Insurance   | 8 | Source of claim data -               |
|            | Claim       |   |                                      |
|            | Source      |   | \'COMPSRCE\' -- Oklahoma Workers'    |
|            |             |   | Comp Insurance (State)               |
|            |             |   |                                      |
|            |             |   | \'WCCOURT\' - Oklahoma Workers' Comp |
|            |             |   | Court                                |
|            |             |   |                                      |
|            |             |   | \'CSLN\' -- Child Support Lien       |
|            |             |   | Network                              |
|            |             |   |                                      |
|            |             |   | 'OCSE' -- Office of Child Support    |
|            |             |   | Enforcement (Federal)                |
|            |             |   |                                      |
|            |             |   | \'MANUAL\' - Entered manually by     |
|            |             |   | users                                |
+------------+-------------+---+--------------------------------------+
| > ICLOSSDT | Date of     | 8 | CCYYMMDD                             |
|            | Loss        |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICNBR    | Insurance   | 3 | Claim number assigned by insurance   |
|            | Claim       | 0 | company                              |
|            | Number      |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICLAIMDT | Date claim  | 8 | CCYYMMDD                             |
|            | was         |   |                                      |
|            | reported    |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICCRTNBR | Insurance   | 3 | Claim file number assigned by        |
|            | Claim court | 0 | Workers' Comp Court                  |
|            | number      |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICCRTDT  | Insurance   | 8 | CCYYMMDD -- Date claim was filed in  |
|            | Claim Court |   | Workers' Comp Court                  |
|            | Date        |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICFEIN   | Insurance   | 9 |                                      |
|            | Company     |   |                                      |
|            | FEIN        |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICEMFEIN | Employer    | 9 |                                      |
|            | FEIN        |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICONTACT | Insurer     | 5 |                                      |
|            | Contact     | 5 |                                      |
|            | name        |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICFAX    | Insurer     | 1 |                                      |
|            | Contact Fax | 0 |                                      |
|            | number      |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICEMAIL  | Insurer     | 5 |                                      |
|            | Contact     | 0 |                                      |
|            | email       |   |                                      |
|            | address     |   |                                      |
+------------+-------------+---+--------------------------------------+
| > CSCFGN   | Case number | 1 | Consists of Non-Custodial Parent     |
|            |             | 2 | number (9) followed by Birth parent  |
|            |             |   |                                      |
|            |             |   | sequence number (3).                 |
+------------+-------------+---+--------------------------------------+
| > ICLNDATE | Lien Date   | 8 | CCYYMMDD -- Date lien created in     |
|            |             |   | OSIS                                 |
+------------+-------------+---+--------------------------------------+
| > ICLNRLDT | Lien        | 8 | CCYYMMDD -- blank if lien is active  |
|            | Release     |   |                                      |
|            | Date        |   |                                      |
+------------+-------------+---+--------------------------------------+
| > ICLNPRDT | Lien Print  | 8 | CCYYMMDD -- Date lien printed at     |
|            | Date        |   | child support field office           |
+------------+-------------+---+--------------------------------------+
| >          | Claimant    | 2 |                                      |
| CSAFNAME-C | first name  | 0 |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Claimant    | 2 |                                      |
| CSAMNAME-C | middle name | 0 |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Claimant    | 2 |                                      |
| CSALNAME-C | last name   | 0 |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Claimant    | 2 |                                      |
| CSADDRL1-C | street line | 0 |                                      |
|            | 1           |   |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Claimant    | 2 |                                      |
| CSADDRL1-C | street line | 0 |                                      |
|            | 2           |   |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Claimant    | 1 |                                      |
|  CSACITY-C | city        | 5 |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Claimant    | 2 |                                      |
| CSASTATE-C | state       |   |                                      |
+------------+-------------+---+--------------------------------------+
| > CSAZIP-C | Claimant    | 9 |                                      |
|            | zip code    |   |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Insurer     | 2 |                                      |
| CSALNAME-I | name        | 0 |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Insurer     | 2 |                                      |
| CSADDRL1-I | street line | 0 |                                      |
|            | 1           |   |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Insurer     | 2 |                                      |
| CSADDRL1-I | street line | 0 |                                      |
|            | 2           |   |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Insurer     | 1 |                                      |
|  CSACITY-I | city        | 5 |                                      |
+------------+-------------+---+--------------------------------------+
| >          | Insurer     | 2 |                                      |
| CSASTATE-I | state       |   |                                      |
+------------+-------------+---+--------------------------------------+
| > CSAZIP-I | Insurer zip | 9 |                                      |
|            | code        |   |                                      |
+------------+-------------+---+--------------------------------------+

  ---------------- ---------------- ------ -------------------------------
  CSALNAME-E       Employer name    20     

  CSADDRL1-E       Employer street  20     
                   line 1                  

  CSADDRL1-E       Employer street  20     
                   line 2                  

  CSACITY-E        Employer city    15     

  CSASTATE-E       Employer state   2      

  CSAZIP-E         Employer zip     9      
                   code                    

  CSAFNAME-A       Attorney first   20     
                   name                    

  CSAMNAME-A       Attorney middle  20     
                   name                    

  CSALNAME-A       Attorney last    20     
                   name                    

  CSADDRL1-A       Attorney street  20     
                   line 1                  

  CSADDRL1-A       Attorney street  20     
                   line 2                  

  CSACITY-A        Attorney city    15     

  CSASTATE-A       Attorney state   2      

  CSAZIP-A         Attorney zip     9      
                   code                    
  ---------------- ---------------- ------ -------------------------------

**[DOCUMENTS]{.underline}**

LIST

Lien Notices

LPI -- Personal Injury Claim Affidavit of Lien

LPIR - Personal Injury Claim Release of Lien

LWCC -- Workers' Comp Claim Affidavit of Lien

LWCEA -- Workers' Comp Lien Entry of Appearance

LWCRL -- Workers' Comp Lien Release

Income Assignment Notices (Workers' Comp only)

Initial I/A notice:

WCIAI -- insurer copy

WCIAIE -- employer copy - cover letter added

WCIAIC -- NCP copy - cover letter added

WCIAIL-- NCP - cover letter added

WCIAIU-- User generated - amounts can be overridden by user

Amended I/A notice: -- identical to initial notice except amended box is
checked

WCIAA -- insurer copy

WCIAAE -- employer copy - cover letter added

WCIAAC -- NCP copy - cover letter added

WCIAAL-- NCP attorney copy - cover letter added

WCIAAU-- User generated - amounts can be overridden by user

Terminated I/A Notice: - identical to initial notice except terminated
box is checked

WCIAT -- insurer copy

WCIATE -- employer copy - cover letter added

WCIATC -- NCP copy- cover letter added

WCIATL-- NCP attorney copy - cover letter added

#  WCIATU-- User generated - amounts can be overridden by user 

#  

TEXT

[LPI]{.underline} -- Personal Injury Claim Affidavit of Lien

\@lonfad@ Customer Service: 1-800-522-2922

Oklahoma City Area: (405) 522-2273

Tulsa Area: (918) 295-3500

District Office Fax: \@loph@

http://www.okdhs.org/childsupport/

\@cursysdt@

\@piinsnad@

In Re: \@apfnm@

Insurance Claim No.: \@PICLAIMNBR@

OK IV-D No.: \@fgn@

Oklahoma Child Support Enforcement Division has been notified the

above named claimant has a pending personal injury claim with your

company. Attached you will find an Affidavit of Child Support Lien

directing your company to send a portion of any settlement or proceeds

to help pay the claimant\'s child support obligation.

When making payment to satisfy this lien, please:

1\. Make checks payable to the Department of Human Services

2\. Put the OK IV-D No. \@fgn@ on the face of the payment

and add \"S/PI after the OK IV-D No.

3\. Mail payments to: OKLAHOMA CENTRALIZED SUPPORT

P.O. BOX 268849

OKLAHOMA CITY, OK 73126-8849

If you are not the person designated by your company to handle these

matters, please forward the cover letter and the Affidavit of Child

Support Lien to the proper person and department in your company. If

we have used an incorrect address, please notify us, either by phone

or mail, of the proper address to use in future correspondence.

Should you have additional questions regarding this lien, please

contact our customer service center for assistance.

cc \@pilnmail01@

IN THE DISTRICT COURT WITHIN AND FOR \@VCNTYP@

STATE OF OKLAHOMA

\@ptfobls@ )

)

)

) CASE No.: \@conm@

vs ) OK IV-D N0.: \@fgn@

)

)

\@defobls@ )

)

)

Claimant: \@apfnm@

Insurance Carrier: \@piinsname@

Insurance Claim No.: \@piclaimnbr@

AFFIDAVIT OF CHILD SUPPORT LIEN

STATE OF OKLAHOMA ) ss.

\@vcntyp@ )

1\. The Department of Human Services, Child Support Enforcement

Division, by and through its attorney, would give notice and show the

Court and all interested parties, the above named claimant is in

arrears for child support payments ordered on behalf of claimant\'s

minor child(ren).

2\. The amount of child support arrearage is in the total amount of

\@FGNARREARS@, plus interest, and this amount is more clearly shown in

full on the Department\'s official Record of Payments.

3\. The claimant was lawfully ordered to pay child support by court

order, all as more fully shown by true and correct copies of the

order(s) attached hereto and marked Exhibit A.

4\. All the child support arrearage and interest is justly due and

owing by the claimant in the above-captioned case and the Department

of Human Services, on behalf of the custodial parent, and pursuant to

43 O.S. §135, has and claims a Lien on any proceeds paid, any

Judgment, settlement, or offer of settlement made and entered in this

matter for said child support arrearage.

5\. Any payments made should be sent to:

Oklahoma Centralized Support Registry

P.O. Box 268849

Oklahoma City, OK 73126-8845

6\. The undersigned, of lawful age, being duly sworn upon oath, states

that s/he is an attorney for the Department of Human Services, Child

Support Enforcement Division and is duly authorized on behalf of

claimant\'s minor child(ren) to make this affidavit and give all

interested parties notice of lien claimed for child support arrearages

against any proceeds awarded in the pending case. Further, I have

read the foregoing statement and knows the contents thereof, the

statement and the attached arrearage computation are true, just and

correct allegations of child support arrearages to the best of my

information and belief.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\@dhsatty@ OBA#: \@barno@

State\'s Attorney

\@lonfad@

I state under penalty of perjury under the laws of Oklahoma that the

foregoing is true and correct.

Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Place: \@lonm@, Oklahoma

CERTIFICATE OF MAILING

This is to certify that a true and correct copy of the foregoing

Affidavit of Lien was mailed on
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, 20\_\_\_

to:

Insurance Carrier: \@piinsnad@

\@pilnmail01@

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

State\'s Attorney

CSLPI DRAFT

[LPIR]{.underline} - Personal Injury Claim Release of Lien -- Requested
by worker though CSCD

IN THE DISTRICT COURT WITHIN AND FOR \@VCNTYP@

STATE OF OKLAHOMA

\@ptfobls@ )

)

) Case No.: \@conm@

) OK IV-D No.: \@fgn@

vs )

)

\@defobls@ ) Custodian:

) \@cpfnm@

Claimant: \@apfnm@

Insurance Carrier: \@piinsnmrl@

Insurance Claim No.: \@piclaimnbr@

RELEASE OF CHILD SUPPORT LIEN

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

The Oklahoma Department of Human Services, Child Support

Enforcement Division, by and through its attorney, hereby files it

Release of the Child Support Lien filed in the above referenced case

on \@piiclnfldt@.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\@user02@

State\'s Attorney for DHS

\@lonfad@

\@loph@

I state under penalty of perjury under the laws of Oklahoma that the

foregoing is true and correct.

Date:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Place: \@lonfad@ \@user03@

CERTIFICATE OF MAILING

This is to certify that a true and correct copy of the foregoing

Release of Child Support Lien was mailed on \@user04@ to:

Insurance Carrier: \@piinsnarl@

\@pilnml01rl@

\@pipendfldt@ \@pipendrldt@

[LWCC]{.underline} -- Workers' Comp Claim Affidavit of Lien

BEFORE THE WORKERS\' COMPENSATION COURT OF

THE STATE OF OKLAHOMA

)Court Claim No.:

\@apfnm@ )@wccourtnbr@

Claimant, )

)Insurance Claim No.:

)@wcclaimnbr@

vs )

)Obligor Name:

)@apfnm@

\@wcrsdbox33@ )

)Obligor SSN: \@apssne@

)

)OK IV-D No.: \@fgn@

\@wcinsbox33@ )

)

)

)

AFFIDAVIT OF CHILD SUPPORT LIEN

STATE OF OKLAHOMA ) ss.

\@vcntyp@ )

1\. The Department of Human Services, Child Support Enforcement

Division, by and through its attorney, would give notice and show the

Court and all interested parties, the above-named claimant is in

arrears for child support payments ordered on behalf of claimant\'s

minor child(ren).

2\. The amount of child support arrearage is in the total amount of

\@fgnarrears@, plus interest.

3\. The claimant was lawfully ordered to pay child support by court

order, all as more fully shown by true and correct copiers of the

order(s) attached hereto and marked Exhibit A.

4\. All of the child support arrearage and interest owed is justly due

and owing by the claimant in the above-captioned case and the

Department of Human Services, on behalf of the custodial parent, and

pursuant to 43 O.S. §§135 and 137 and 85 O.S. §§48 and 48.1 and

COMMONS v. BRAGG, 80 P.2d 287 (Okla. 1938), has and claims a Lien on

any proceeds paid, any Judgment, settlement, or offer of settlement

made and entered in this matter for said child support arrearage.

5\. Any payments made should be sent to:

Oklahoma Centralized Support Registry

P.O. Box 268849

Oklahoma City, OK 73126-8845

CSLWCC DRAFT

6\. The undersigned, of lawful age, being duly sworn upon oath, states

that s/he is an attorney for the Department of Human Services, Child

Support Enforcement Division and is duly authorized on behalf of

claimant\'s minor child(ren) to make this affidavit and give all

interested parties notice of lien claimed for child support arrearages

against any proceeds awarded in the pending case before the Workers\'

Compensation Court. Further, I have read the foregoing statement and

knows the contents thereof, the statement and the attached arrearage

computation are true, just and correct allegations of child support

arrearages to the best of my information and belief.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

State\'s Attorney for DHS OBA#: \_\_\_\_\_\_\_\_\_\_

\@lonfad@

I state under penalty of perjury under the laws of Oklahoma that the

foregoing is true and correct.

Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Place: \@lonm@. Oklahoma

CERTIFICATE OF MAILING

This is to certify that a true and correct copy of the foregoing

Affidavit of Lien was mailed on
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, 20\_\_\_ to:

Insurance Carrier: \@wcinsnad@

\@wclnmail01@

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

State\'s Attorney

CSLWCC DRAFT

[LWCEA]{.underline} -- Workers' Comp Lien Entry of Appearance

BEFORE THE WORKERS\' COMPENSATION COURT OF

THE STATE OF OKLAHOMA

) Court Claim No.:

\@apfnm@ ) \@wccourtnbr@

Claimant, )

) Insurance Claim No.:

) \@wcclaimnbr@

vs )

) Obligor Name: \@apfnm@

)

\@wcresbox33@ ) OK IV-D No.: \@fgn@

)

)

)

\@wcinsbox33@ )

)

)

)

ENTRY OF APPEARANCE

The Department of Human Services, Child Support Enforcement

Division, requests the Court and Claimant direct all future pleadings

and notices to the following:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\@dhsatty@ OBA #@barno@

State\'s Attorney

\@lonfad@

CERTIFICATE OF MAILING

This is to certify that a true and correct copy of the foregoing

Entry of Appearance was mailed on
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_,

\_\_\_\_\_\_, to:

Insurance Carrier: \@wcinsnad@

\@wclnmail01@

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

State\'s Attorney

CSLWCEA DRAFT

[LWCRL]{.underline} -- Workers' Comp Claim Release of Lien -- Requested
by worker though CSCD

BEFORE THE WORKERS\' COMPENSATION COURT OF

THE STATE OF OKLAHOMA

\@apfnm@ ) Court Claim No.:

Claimant, ) \@WCCOURTNBR@

) Insurance Claim No.:

vs ) \@WCCLAIMNBR@

)

\@WCRESPNAME@ ) Obligor Name:

Respondent, ) \@apfnm@

)

\@WCINSNAME@ ) OK IV-D No.: \@fgn@

Insurance Carrier, )

) Custodian

) \@cpfnm@

)

RELEASE OF CHILD SUPPORT LIEN

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

The Oklahoma Department of Human Services, Child Support

Enforcement Division, by and through its attorney, hereby files its

Release of the Child Support Lien filed in the above referenced case

in the Workers\' Compensation Court on \_\_\_\_\_\_\_\_\_\_\_\_,
20\_\_\_\_.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\@DHSATTY@

State\'s Attorney for DHS OBA# \@BARNO@

\@lonfad@

I state under penalty of perjury under the laws of Oklahoma that the

foregoing is true and correct.

Date:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Place: \@lonm@

Oklahoma

OK IV-D No.: \@fgn@

CERTIFICATE OF MAILING

This is to certify that a true and correct copy of the foregoing

RELEASE OF CHILD SUPPORT LIEN was mailed on
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_,

\_\_\_\_\_\_, to:

\@WCLNMAIL01@

Claimant Attorney: \@WCINSNAD@

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

State\'s Attorney

Income Assignment Notices -- sent to insurer

[WCIAI]{.underline} -- Workers' Comp Initial Notice (identical to noiai
document except for cover letter to insurer inserted as first page). If
insurer name has not been supplied, this notice will be sent to
employer.

Customer Service: 1-800-522-2922

Oklahoma City Area: (405) 522-2273

Tulsa Area: (918) 295-3500

\@lonfad@ District Office Fax: \@loph@

http://www.okdhs.org/childsupport/

\@wcinsnadbc@

In Re: \@apfnm@

Insurance Claim No.: \@wcclaimnbr@

Worker\'s Compensation Court No.: \@wccourtnbr@

OK IV-D No.: \@fgn@

Oklahoma Child Support Enforcement Division has been notified the above
named

claimant has a pending Worker\'s Compensation Claim with your company.
Attached

you will find a Notice of Income Assignment to withhold for child
support

directing your company to send a portion of the claimant\'s benefits to
help pay

the claimant\'s child support obligation. A child support lien may have
also

been filed of record in Workers\' Compensation Court regarding this
claimant.

When making payments to satisfy either the Notice of Income Assignment

or child support lien, please:

1\. Make checks payable to the Department of Human Services

2\. Put the above OK IV-D No. \@fgn@ on the face of the payment

and note one of the following:

for lump sum awards, please add \"S/WC\" after the OK IV-D No.

for periodic payments, please add \"K/WC\" after the OK IV-D No.\`

3\. Mail payments to: Oklahoma Centralized Support Registry

P.O. Box 268849

Oklahoma City, OK 73126-8849

If you are not the person designated by your company to handle these
matters,

please forward the cover letter and the Notice of Income Assignment to
the

proper person and department in your company. If we have used an
incorrect

address, please notify us, either by phone or mail, of the proper
address to

use in future correspondence. Should you have additional questions
regarding

the Notice of Income Assignment, please contact our customer service
center for

assistance.

CSWCIAI DRAFT

\(X\) ORDER/NOTICE TO WITHHOLD INCOME FOR CHILD SUPPORT

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(X)ORIGINAL ( )Amended ( )Termination DATE: \@cursysdt@

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\(X\) State/Tribe/Territory: OKLAHOMA

City/Co./Dist./Reservation: \@LONM@

( ) Non-governmental entity or Individual
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

OK IV-D No.: \@fgn@

Employer\'s/Withholder\'s Name & Address

\@wcinsnad@

Employer\'s/Withholder\'s Federal EIN Number (if known)

\@wcinsfein@

Employee\'s/Obligor\'s Name (First, MI, Last)

RE: \@apfnm@

Employee\'s/Obligor\'s Social Security Number

\@apssne@

Employee\'s/Obligor\'s Case Identifier

\@fgn@

Obligee(s)\' Name(s) (First, MI, Last)

\@cpfgnfnm@

ORDER INFORMATION: This document is based on the support or withholding
order

from \@noiaobln@.

You are required by law to deduct these amounts from the employee\'s/

obligor\'s income until further notice.

\$@noiacs@ Per month current child support

\$@noiap@ Per month past-due child support

\- ARREARS 12 WEEKS or GREATER? \@fgnarrs@

\$@noiam@ Per month current cash medical support

\$ 0.00 Per month past-due cash medical support

\$@noias@ Per month spousal support

\$\_\_\_\_\_\_\_ Per month past-due spousal support

\$@noiao@ Per month other (specify)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

for a total of \$@noiat@ per month to be forwarded to the payee below.

You do not have to vary your pay cycle to be in compliance with the
support

order. If your pay cycle does not match the ordered payment cycle,
withhold

one of the following amounts:

\$@noiawkly@ per weekly pay period.

\$@noiabwkl@ per biweekly pay period (every two weeks).

\$@noiasmth@ per semimonthly pay period (twice a month).

\$@noiat@ per monthly pay period.

IMPORTANT: THE PERSON COMPLETING THIS FORM IS ADVISED THAT THE
INFORMATION

ON THIS FORM MAY BE SHARED WITH THE OBLIGOR.

1 OMB NO.: 0970-0154

CSWCIAI DRAFT

OK IV-D No.: \@fgn@

INS SEQ: \@WCCLAIMSEQ@

PRINT DATE: \@cursysdt@

REMITTANCE INFORMATION: When remitting payment, provide the pay
date/date of

withholding and the case identifier (@fgn@). If the
employee\'s/obligor\'s

principal place of employment is Oklahoma, begin withholding no later
than the

first pay period occurring upon receipt of this document or \@noiaed@,
whichever

is later. Send payment within seven (7) working days of the pay
date/date of

withholding. The total withheld amount, including your fee, may not
exceed the

amount allowed by the Federal Consumer Credit Protection Act. You may
deduct

from any income of the obligor a sum not exceeding five dollars (\$5.00)
per pay

period, but not to exceed ten dollars (\$10.00) per month as
reimbursement for

costs incurred by you in complying with the income assignment, (56 O.S.

§240.2(D)(14)).

If the employee\'s/obligor\'s principal place of employment is not
Oklahoma, for

limitations on withholding, applicable time requirements, and any
allowable

employer fees, follow the laws and procedures of the
employee\'s/obligor\'s

principal place of employment (see #3 and #9, ADDITIONAL INFORMATION TO

EMPLOYERS AND OTHER WITHHOLDERS).

========================================================================

= MAKE CHECK PAYABLE TO: Oklahoma Department of Human Services =

= SEND CHECK TO: Oklahoma Centralized Support Registry =

= P.O. BOX 268809 =

= Oklahoma City, OK 73126-8809 =

========================================================================

If remitting payment by EFT/EDI, call (800) 522-2922 before first
submission.

Use this FIPS code: 4000000, Bank Routing number: 103000648 Bank Account

Number: 010251577.

THIS IS AN ORDER/NOTICE TO WITHHOLD:

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

PRINT NAME: HOWARD H. HENDRICK

TITLE OF ISSUING OFFICIAL: Director Oklahoma Department of Human
Services

DATE: \@cursysdt@ (X)IV-D AGENCY ( )COURT

NOTE: Non-IV-D Attorneys, individuals, and non-governmental entities
must

submit a Notice of an Order to Withhold and include a copy of the income

withholding order unless, under a state\'s law, an attorney in that
state may

issue an income withholding order. In that case, the attorney may submit
an

Order/Notice to Withhold and include a copy of the state law authorizing
the

attorney to issue an income withholding order/notice.

ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS

\_

\|\_\| If checked, you are required to provide a copy of this form to

your employee/obligor. If your employee works in a state that

is different from the state that issued this order, a copy must

be provided to your employee/obligor even if the box is not

checked.

1\. PRIORITY: Withholding under this Order or Notice has priority over
any

other legal process under state law (or tribal law) against the same
income.

If there are federal tax levies in effect, please notify the contact
person

listed below. (See #10)

2\. COMBINING PAYMENTS: You may combine withheld amounts from more than
one

employee\'s/obligor\'s income in a single payment to each agency/party
requesting

withholding. You must, however, separately identify the portion of the
single

payment that is attributable to each employee/obligor.

2 OMB No.: 097-0154

CSWCIAI DRAFT

OK IV-D No.: \@fgn@

INS SEQ: \@WCCLAIMSEQ@

PRINT DATE: \@cursysdt@

3\. REPORTING THE PAYDATE/DATE OF WITHHOLDING: You must report the

paydate/date of withholding when sending the payment. The paydate/date
of

withholding is the date on which the amount was withheld from the
employee\'s

wages. You must comply with the law of the state of
employee\'s/obligor\'s

principal place of employment with respect to the time periods within
which you

must implement the withholding and forward the support payments.

4\. EMPLOYEE/OBLIGOR WITH MULTIPLE SUPPORT WITHHOLDINGS: If there is
more

than one Order or Notice against this employee/obligor and you are
unable to

honor all support Orders or Notices due to federal, state, or tribal

withholding limits, you must follow the law of the state or tribal

law/procedure of the employee\'s/obligor\'s principal place of
employment. You

must honor all Order or Notices to the greatest extent possible. (See
#9)

5\. TERMINATION NOTIFICATION: You must promptly notify the Child Support

Enforcement (IV-D) Agency and/or the contact person listed below when
the

employee/obligor no longer works for you. Please provide the information

requested and return a complete copy of this Order or Notice to the
Child

Support Enforcement (IV-D) Agency and/or the contact person listed
below. (See

#10)

THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: \@wcempnad@

EMPLOYEE\'S/OBLIGOR\'S NAME: \@apfnm@

CASE IDENTIFIER: \@fgn@

DATE OF SEPARATION FROM EMPLOYMENT:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

LAST KNOWN HOME ADDRESS:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

NEW EMPLOYER/ADDRESS:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

6\. LUMP SUM PAYMENTS: You may be required to report and withhold from
lump

sum payments as bonuses, commissions, or severance pay. If you have any

questions about lump sum payments, contact the Child Support Enforcement
(IV-D)

Agency.

7\. LIABILITY: If you have any doubts about the validity of the Order o

Notice, contact the agency or person listed below under ten (10). If you
fail

to withhold income as the Order or Notice directs, you are liable for
both the

accumulated amount you should have withheld from the
employee\'s/obligor\'

income and any other penalties set by state or tribal law/procedure. The
payor

is liable for any amount up to the accumulated amount that should have
bee

withheld and paid, and may be fined up to two hundred dollars (\$200.00)
for

each failure to make the required deductions if the payor: a.) fails t

withhold or pay the support in accordance with the provisions of the
income

assignment notice, or b.) fails to notify the person or agency
designated t

receive payments as required. 12 O.S. 1171.3(B)(9) and 56 O.S. 240.2
(d)(10)

8\. ANTI-DISCRIMINATION: You are subject to a fine determined under stat

or tribal law for discharging an employee/obligor from employment,
refusing t

employ, or taking disciplinary action against any employee/obligor
because of

child support withholding. Any payor who violates this section shall be
liable

to the obligor for all income, wages, and employment benefits lost by
the

obligor from the period of unlawful discipline, suspension, discharge,
or

refusal to promote until the time of reinstatement or promotion. 12 O.S.
1171.3

(B)(15) 56 O.S. 240.2 (D)(15).

3 OMB No.: 0970-0154

CSWCIAI DRAFT

OK IV-D No.: \@fgn@

INS SEQ: \@WCCLAIMSEQ@

PRINT DATE: \@cursysdt@

9\. WITHHOLDING LIMITS: For state orders, you may not withhold more than

the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection

Act (15 U.S.C. §1673(b)); or 2) the amounts allowed by the state of the

employee\'s/obligor\'s principal place of employment. The federal limit
applies

to the aggregate disposable weekly earnings (ADWE). ADWE is the net
income

left after making mandatory deductions such as: state, federal, local
taxes,

Social Security taxes, statutory pension contributions, and Medicare
taxes.

The Federal CCPA limit is 50% of the ADWE for child support and alimony,
which

is increased by 1) 10% if the employee does not support a second family;
and/or

2\) 5% if arrears are more than 12 weeks. For TRIBAL ORDERS, you may not

withhold more than the amounts allowed under the law of the issuing
tribe. For

TRIBAL EMPLOYERS who receive a state order, you may not withhold more
than the

amounts allowed under the law of the state that issued the order.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

CASE FACTS CCPA WITHHOLDINGS LIMITS

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\| \| \|

\| Obligor Supports a Spouse or \| 50% of wages may be withheld to \|

\| Dependent Child; Less Than 12 \| enforce a support obligation \|

\| Weeks in Arrears \| \|

\|\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--\|

\| Obligor Supports a Spouse or \| 55% of wages may be withheld to \|

\| Dependent Child; More Than 12 \| enforce a support obligation \|

\| Weeks in Arrears \| \|

\|\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--\|

\| Obligor DOES NOT Support a \| 60% of wages may be withheld to \|

\| Spouse or Dependent Child; Less \| enforce a support obligation \|

\| Than 12 Weeks in Arrears \| \|

\|\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--\|

\| Obligor DOES NOT Support a \| 65% of wages may be withheld to \|

\| Spouse or Dependent Child; \| enforce a support obligation \|

\| More Than 12 Weeks Arrears \| \|

\|\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\|\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\|

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

CHILD(REN)\'S NAMES AND ADDITIONAL INFORMATION

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

NAME DOB

\@chndfgn@

10\. If you or your employee/obligor have any questions, contact \@lonm@
by

telephone 1-800-522-2922 or by Fax \@lophfax@ or by Internet at:

http://www.okdhs.org/childsupport.

4 OMB 0970-0154

CSWCIAI DRAFT

[WCIAA]{.underline} -- Workers' Comp Amended Notice

Same as WCIAI except the 'amended' box is checked

[WCIAT]{.underline} -- Workers' Comp Terminated Notice

Same as WCIAI except the 'terminated' box is checked

And the opening cover letter page is omitted.

[WCIAIE/WCIAAE/WCIATE]{.underline} -- employer copies of insurer notices

With the following cover letter inserted as the first page:

Customer Service: 1-800-522-2922

Oklahoma City Area: (405) 522-2273

Tulsa Area: (918) 295-3500

District Office Fax: \@loph@

\@lonfad@ http://www.okdhs.org/childsupport/

\@cursysdt@

\@wcempnadbc@

RE: \@apfnm@

Order/Notice to Withhold Income for Child Support

Dear Sir,

Our records show that you are the employer in the attached

Workers' Compensation case. Therefore, we have enclosed a copy,

for your records, of the Order/Notice to Withhold Income for Child
Support

that was sent to the insurer.

Child Support Enforcement Division

[WCIAIL/WCIAAL/WCIATL]{.underline} -- ncp attorney copies of insurer
notices

With the following cover letter inserted as the first page:

Customer Service: 1-800-522-2922

Oklahoma City Area: (405) 522-2273

Tulsa Area: (918) 295-3500

District Office Fax: \@loph@

\@lonfad@ http://www.okdhs.org/childsupport/

\@cursysdt@

\@wcattyltra@

RE: \@apfnm@

Order/Notice to Withhold Income for Child Support

Dear \@wcattyltrn@

Our records show that you are the attorney for \@apfnm@ in the attached

Workers' Compensation case. Therefore, we have enclosed a copy,

for your records,of the Order/Notice to Withhold Income for Child
Support

that was sent to the insurer.

If you are no longer representing \@apfnm@ in this matter or have any
questions,

please call our customer service office at (405) 522-2273 in the
Oklahoma City

area, (918) 295-3500 in the Tulsa area or outside the metro areas at

1-800-522-2922.

Child Support Enforcement Division

[WCIAIC/WCIAAC/WCIATC]{.underline} -- ncp copies of insurer notices

With the following cover letter inserted as the first page

(will be sent if ncp has no attorney assigned to the case):

Customer Service: 1-800-522-2922

Oklahoma City Area: (405) 522-2273

Tulsa Area: (918) 295-3500

\@lonfad@ District Office Fax: \@loph@

http://www.okdhs.org/childsupport/

\@cursysdt@

\@apnfadbc@

RE: Order/Notice to Withhold Income for Child Support

OK IV-D No.: \@fgn@

Dear \@apfnm@:

Enclosed is your copy of the Order/Notice to Withhold Income for Child
Support

that was sent to your Workers' comp insurer.

If you have any questions call our customer service office at (405)
522-2273 in

the Oklahoma City area, (918) 295-3500 in the Tulsa area or outside the
metro

areas at 1-800-522-2922.

Child Support Enforcement Division

[WCIAIU/WCIAAU/WCIATU]{.underline} -- User generated initial, amended
and terminated I/A

Notices which are . These documents are created by the worker using

the CSCD transaction. The document formats are identical to the auto

generated ones except that the following amounts can be entered by the
worker:

\$ PER MONTH CURRENT CHILD SUPPORT

\$ PER MONTH PAST-DUE CHILD SUPPORT

\_\_\_ TYPE YES ARREARS 12 WKS OR GREATER & NO IF NOT

\$ PER MONTH CURRENT MEDICAL SUPPORT

\$ PER MONTH PAST-DUE MEDICAL SUPPORT

\$ PER MONTH SPOUSAL SUPPORT

\$ PER MONTH OTHER

Note: Documents that are generated through CSCD will not automatically
generate

Copies for the employer, attorney and claimant. If these are needed,
they will

each have to be requested in turn.

**[DocGen Variables]{.underline}**

Note1: csafname, csamname ,csalname -- full name -- strung together with
single space

Separators.

Note2: For \@wcinsname@, \@wcinsnad@, \@wcinsnadbc@, \@wcinsbox33@

A name variable is 'good' if csalname \> spaces

Note3: For all other variables,

A name variable is 'good' if csalname or csamname or csalname \> spaces

Note4: A name and address variable is 'good', if the name (as above) is
'good',

and csadrl1 is \> spaces.

Note5: ssa's for the apiclaim segment can be found in the ce005ssb
copylib.

Note6: Column headed 'P' is the 'pended' column -- If the value in this
column is 'Y',

And the variable is not found, the document will pend.

+---------+---+------+---------------------+----------------------------+
| V       | P | So   | Description         | Database source            |
| ariable |   | urce |                     |                            |
+---------+---+------+---------------------+----------------------------+
| \@wccl  | Y | \    | Workers' Comp claim | Ce005dbd.apiclaim.icseq    |
| aimseq@ |   | @ap@ | sequence number --  |                            |
|         |   |      | key                 |                            |
+---------+---+------+---------------------+----------------------------+
| \@wcco  | N | \    | Workers' Comp claim | Ce005dbd.apiclaim.iccrtnbr |
| urtnbr@ |   | @wcc | court case number   |                            |
|         |   | laim |                     | Absentpt key: \@ap@        |
|         |   | seq@ |                     |                            |
|         |   |      |                     | Apiclaim key: WC           |
|         |   |      |                     |                            |
|         |   |      |                     | icseqd= 9's comp of        |
|         |   |      |                     |                            |
|         |   |      |                     | \@wcclaimseq@              |
+---------+---+------+---------------------+----------------------------+
| \@wccl  | N | \    | Workers' Comp       | Ce005dbd.apiclaim.icnbr    |
| aimnbr@ |   | @wcc | Insurance claim     |                            |
|         |   | laim | number              | Absentpt key: \@ap@        |
|         |   | seq@ |                     |                            |
|         |   |      |                     | Apiclaim key: ictype=WC    |
|         |   |      |                     |                            |
|         |   |      |                     | icseqd= 9's comp of        |
|         |   |      |                     |                            |
|         |   |      |                     | \@wcclaimseq@              |
+---------+---+------+---------------------+----------------------------+
| \@wci   | N | \    | Workers' Comp claim | Ce005dbd.apiclaim.icfein   |
| nsfein@ |   | @wcc | insurer FEIN        |                            |
|         |   | laim |                     | Absentpt key: \@ap@        |
|         |   | seq@ |                     |                            |
|         |   |      |                     | Apiclaim key: \@ictype@    |
|         |   |      |                     |                            |
|         |   |      |                     | icseqd= 9's comp of        |
|         |   |      |                     |                            |
|         |   |      |                     | \@wcclaimseq@              |
+---------+---+------+---------------------+----------------------------+
| \@wci   | N | \    | WC claim --         | Ce003dbd.                  |
| nsname@ |   | @wcc | insurance company   | a                          |
|         |   | laim | name                | ddressg.csafname,csamname, |
|         |   | seq@ |                     |                            |
|         |   |      |                     | Csalname                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=06  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@wcclaimseq@    |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
|         |   |      |                     |                            |
|         |   |      |                     | If above not good, use     |
|         |   |      |                     | csadrtyp08 if it's good.   |
+---------+---+------+---------------------+----------------------------+
| \@wcin  | N | \    | WC claim --         | Same as \@wcinsname@       |
| sbox33@ |   | @wcc | insurance company   |                            |
|         |   | laim | name used for Lien  |                            |
|         |   | seq@ | notice styling.     |                            |
|         |   |      | Name can stretch    |                            |
|         |   |      | over two 33         |                            |
|         |   |      | character lines     |                            |
|         |   |      |                     |                            |
|         |   |      | followed by         |                            |
|         |   |      | 'insurance carrier' |                            |
|         |   |      | line.               |                            |
+---------+---+------+---------------------+----------------------------+
| \@wc    | N | \    | WC claim -- Ins.    | Ce003dbd.a                 |
| insnad@ |   | @wcc | co. name and        | ddressg.csafname,csamname, |
|         |   | laim | address -- Blocked  |                            |
|         |   | seq@ | style.              | Csalname, csaddrl1,        |
|         |   |      |                     | csaddrl2                   |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=06  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@wcclaimseq@    |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
|         |   |      |                     |                            |
|         |   |      |                     | If above not good, use     |
|         |   |      |                     | csadrtyp 08 if it's good.  |
+---------+---+------+---------------------+----------------------------+
| \@wcin  | Y | \    | WC claim -- Ins.    | Same as \@wcinsnad@        |
| snadbc@ |   | @wcc | co. name and        |                            |
|         |   | laim | address blocked     |                            |
|         |   | seq@ | style w/bar code.   |                            |
+---------+---+------+---------------------+----------------------------+
| \@wce   | N | \    | Workers' Comp claim | Ce003dbd.a                 |
| mpname@ |   | @wcc | employer name       | ddressg.csafname,csamname, |
|         |   | laim |                     |                            |
|         |   | seq@ |                     | csalname                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=08  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@wcclaimseq@    |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
+---------+---+------+---------------------+----------------------------+
| \@wc    | N | \    | WC claim --         | Ce003dbd.a                 |
| empnad@ |   | @wcc | employer name and   | ddressg.csafname,csamname, |
|         |   | laim | address --          |                            |
|         |   | seq@ |                     | Csalname, csaddrl1,        |
|         |   |      | blocked.            | csaddrl2                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=08  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@wcclaimseq@    |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
+---------+---+------+---------------------+----------------------------+
| \@wcem  | Y | \    | WC claim --         | Same as \@wcempnad@        |
| pnadbc@ |   | @wcc | employer name and   |                            |
|         |   | laim | address --          |                            |
|         |   | seq@ |                     |                            |
|         |   |      | blocked style w/bc. |                            |
+---------+---+------+---------------------+----------------------------+
| \@wcre  | N | \    | \@wcempname@ if     | Use \@wcempname@ if it's   |
| spname@ |   | @wcc | there, else         | good                       |
|         |   | laim | \@wcinsname@        |                            |
|         |   | nbr@ |                     | else use \@wcinsname@ if   |
|         |   |      |                     | it's good                  |
+---------+---+------+---------------------+----------------------------+
| \@wcre  | N | \    | WC claim -- insurer | Same as \@wcrespname@      |
| sbox33@ |   | @wcc | or employer name    |                            |
|         |   | laim | used for lien       |                            |
|         |   | seq@ | notice styling.     |                            |
|         |   |      | Name can stretch    |                            |
|         |   |      | over two 33         |                            |
|         |   |      | character lines     |                            |
|         |   |      |                     |                            |
|         |   |      | followed by         |                            |
|         |   |      | 'respondent' line.  |                            |
+---------+---+------+---------------------+----------------------------+
| \@wcrs  | N | \    | WC claim -- insurer | Same as \@wcrespname@      |
| dbox33@ |   | @wcc | or employer name    |                            |
|         |   | laim | used for lien       |                            |
|         |   | seq@ | notice styling.     |                            |
|         |   |      | Name can stretch    |                            |
|         |   |      | over two 33         |                            |
|         |   |      | character lines     |                            |
|         |   |      |                     |                            |
|         |   |      | followed by         |                            |
|         |   |      | re                  |                            |
|         |   |      | spondent/defendent' |                            |
|         |   |      | line                |                            |
+---------+---+------+---------------------+----------------------------+
| \@wcat  | N | \    | Workers' Comp claim | Ce003dbd.a                 |
| tyname@ |   | @wcc | -- ncp attorney     | ddressg.csafname,csamname, |
|         |   | laim | name                |                            |
|         |   | seq@ |                     | csalname                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=09  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@wcclaimseq@    |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
+---------+---+------+---------------------+----------------------------+
| \@wcat  | N | \    | WC claim - ncp      | Ce003dbd.a                 |
| tyfnad@ |   | @wcc | attorney name and   | ddressg.csafname,csamname, |
|         |   | laim | address             |                            |
|         |   | seq@ |                     | Csalname, csaddrl1,        |
|         |   |      | -- blocked style.   | csaddrl2                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=09  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@wcclaimseq@    |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
+---------+---+------+---------------------+----------------------------+
| \@wcat  | Y | \    | WC claim - ncp      | Same as \@wcattyfnad@      |
| ynadbc@ |   | @wcc | attorney name and   |                            |
|         |   | laim | address --          |                            |
|         |   | seq@ |                     |                            |
|         |   |      | blocked style w/bc. |                            |
+---------+---+------+---------------------+----------------------------+
| \@wcat  | Y | \    | WC claim - Ncp WC   | Use \@wcatynadbc@ if it's  |
| tyltra@ |   | @wcc | Attorney name and   | good,                      |
|         |   | laim | address -- if not   |                            |
|         |   | seq@ | found, NCP regular  | else use \@apatynadbc@ if  |
|         |   |      | attorney used-      | it's good.                 |
|         |   |      |                     |                            |
|         |   |      | blocked style w/bc. |                            |
+---------+---+------+---------------------+----------------------------+
| \@wcat  | N | \    | WC claim - Ncp wc   | Use \@wcattyname@ if it's  |
| tyltrn@ |   | @wcc | Attorney name -- if | good,                      |
|         |   | laim | not found NCP       |                            |
|         |   | seq@ | regular attorney    | else use \@apattyname@ if  |
|         |   |      | used                | it's good                  |
+---------+---+------+---------------------+----------------------------+
| \@wcln  | N | \    | WC claim - NCP's WC | Use \@wcattyfnad@ if it's  |
| mail01@ |   | @wcc | attorney name and   | good                       |
|         |   | laim | address. If not     |                            |
|         |   | seq@ | there, NCP's        | else use \@apattyfnad@ if  |
|         |   |      | regular attorney is | it's good                  |
|         |   |      | used and if that's  |                            |
|         |   |      | not there, NCP's    | else use \@apfnad@ if it's |
|         |   |      | name and address is | good                       |
|         |   |      | used.               |                            |
|         |   |      |                     | If \@wcattyfnad@ or        |
|         |   |      |                     | \@apattyfnad@ used, print  |
|         |   |      |                     |                            |
|         |   |      |                     | 'Claimant Attorney:'       |
|         |   |      |                     | \@wcattyfnad@              |
|         |   |      |                     |                            |
|         |   |      |                     | or                         |
|         |   |      |                     |                            |
|         |   |      |                     | 'Claimant Attorney:'       |
|         |   |      |                     | \@apattyfnad@              |
|         |   |      |                     |                            |
|         |   |      |                     | If \@apfnad@ used, print   |
|         |   |      |                     |                            |
|         |   |      |                     | 'Claimant:' \@apfnad@      |
+---------+---+------+---------------------+----------------------------+
| \@picl  | Y | \    | Personal Injury     | Ce005dbd.apiclaim.icseq    |
| aimseq@ |   | @ap@ | claim sequence      |                            |
|         |   |      | number -- key       |                            |
+---------+---+------+---------------------+----------------------------+
| \@picl  | N | \    | Personal Injury     | Ce005dbd.apiclaim.icnbr    |
| aimnbr@ |   | @pic | Insurance claim     |                            |
|         |   | laim | number              | Absentpt key: \@ap@        |
|         |   | seq@ |                     |                            |
|         |   |      |                     | Apiclaim key: ictype=PI    |
|         |   |      |                     |                            |
|         |   |      |                     | icseqd= 9's comp of        |
|         |   |      |                     |                            |
|         |   |      |                     | \@piclaimseq@              |
+---------+---+------+---------------------+----------------------------+
| \@pii   | N | \    | PI claim --         | Ce003dbd.a                 |
| nsname@ |   | @pic | insurance company   | ddressg.csafname,csamname, |
|         |   | laim | name                |                            |
|         |   | seq@ |                     | csalname                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=32  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@piclaimseq@    |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
+---------+---+------+---------------------+----------------------------+
| \@pii   | N | \    | PI claim (released  | Ce004dbd.a                 |
| nsnmrl@ |   | @pic | lien) -- insurance  | ddressg.csafname,csamname, |
|         |   | laim | company name        |                            |
|         |   | seq@ |                     | csalname                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: first        |
|         |   |      |                     | segment under root         |
|         |   |      |                     |                            |
|         |   |      |                     | with:                      |
|         |   |      |                     |                            |
|         |   |      |                     | csadrtyp=32                |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@piclaimseq@    |
+---------+---+------+---------------------+----------------------------+
| \@pi    | N | \    | PI claim -- Ins.    | Ce003dbd.                  |
| insnad@ |   | @pic | co. name and        | a                          |
|         |   | laim | address --          | ddressg.csafname,csamname, |
|         |   | seq@ |                     |                            |
|         |   |      | Blocked style       | Csalname, csaddrl1,        |
|         |   |      |                     | csaddrl2                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=32  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@piclaimseq@    |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
+---------+---+------+---------------------+----------------------------+
| \@pii   | N | \    | PI claim (released  | Ce004dbd.                  |
| nsnarl@ |   | @pic | lien) -- Ins. co.   | a                          |
|         |   | laim | name and address -  | ddressg.csafname,csamname, |
|         |   | seq@ | Blocked style       |                            |
|         |   |      |                     | Csalname, csaddrl1,        |
|         |   |      |                     | csaddrl2                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: first        |
|         |   |      |                     | segment under root         |
|         |   |      |                     |                            |
|         |   |      |                     | with:                      |
|         |   |      |                     |                            |
|         |   |      |                     | csadrtyp=32                |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@piclaimseq@    |
+---------+---+------+---------------------+----------------------------+
| \@piic  | N | \    | PI claim (released  | C                          |
| lnfldt@ |   | @pic | lien) -- Lien       | e005dbd.apiclienm.iclnrldt |
|         |   | laim | filing date         |                            |
|         |   | seq@ |                     | Absentpt key: \@ap@        |
|         |   |      |                     |                            |
|         |   |      |                     | Apiclaim key: ictype=PI    |
|         |   |      |                     |                            |
|         |   |      |                     | icseqd= 9's comp of        |
|         |   |      |                     |                            |
|         |   |      |                     | \@piclaimseq@              |
|         |   |      |                     |                            |
|         |   |      |                     | Apiclien key: cscfgn       |
+---------+---+------+---------------------+----------------------------+
| \@piat  | N | \    | PI claim - ncp      | Ce003dbd.                  |
| tyname@ |   | @pic | attorney name       | a                          |
|         |   | laim |                     | ddressg.csafname,csamname, |
|         |   | seq@ |                     |                            |
|         |   |      |                     | Csalname                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=33  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@piclaimseq@    |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
+---------+---+------+---------------------+----------------------------+
| \@piat  | N | \    | PI claim - ncp      | Ce003dbd.                  |
| tyfnad@ |   | @pic | attorney name and   | a                          |
|         |   | laim | address             | ddressg.csafname,csamname, |
|         |   | seq@ |                     |                            |
|         |   |      | -- blocked style    | Csalname, csaddrl1,        |
|         |   |      |                     | csaddrl2                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=33  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@piclaimseq@    |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
+---------+---+------+---------------------+----------------------------+
| \@piat  | N | \    | PI claim (released  | Ce004dbd.                  |
| tyfnrl@ |   | @pic | lien) - ncp         | a                          |
|         |   | laim | attorney name and   | ddressg.csafname,csamname, |
|         |   | seq@ | address -- blocked  |                            |
|         |   |      | style               | Csalname, csaddrl1,        |
|         |   |      |                     | csaddrl2                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: first        |
|         |   |      |                     | segment under root         |
|         |   |      |                     |                            |
|         |   |      |                     | with:                      |
|         |   |      |                     |                            |
|         |   |      |                     | csadrtyp=33                |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= \@piclaimseq@    |
+---------+---+------+---------------------+----------------------------+
| \@piln  | N | \    | PI claim - NCP's PI | Use \@piattyfnad@ if it's  |
| mail01@ |   | @pic | attorney name and   | good                       |
|         |   | laim | address. If not     |                            |
|         |   | seq@ | there, NCP's        | else use \@apattyfnad@ if  |
|         |   |      | regular attorney is | it's good                  |
|         |   |      | used and if that's  |                            |
|         |   |      | not there, NCP's    | else use \@apfnad@ if it's |
|         |   |      | name and address is | good                       |
|         |   |      | used.               |                            |
|         |   |      |                     | If \@piattyfnad@ or        |
|         |   |      |                     | \@apattyfnad@ used, print  |
|         |   |      |                     |                            |
|         |   |      |                     | 'Claimant Attorney:'       |
|         |   |      |                     | \@piattyfnad@              |
|         |   |      |                     |                            |
|         |   |      |                     | or                         |
|         |   |      |                     |                            |
|         |   |      |                     | 'Claimant Attorney:'       |
|         |   |      |                     | \@apattyfnad@              |
|         |   |      |                     |                            |
|         |   |      |                     | If \@apfnad@ used, print   |
|         |   |      |                     |                            |
|         |   |      |                     | 'Claimant:' \@apfnad@      |
+---------+---+------+---------------------+----------------------------+
| \@piln  | N | \    | PI claim (released  | Use \@piattyfnrl@ if it's  |
| ml01rl@ |   | @pic | lien)               | good                       |
|         |   | laim |                     |                            |
|         |   | seq@ | \- NCP's PI         | else use \@apattyfnad@ if  |
|         |   |      | attorney name and   | it's good                  |
|         |   |      | address. If not     |                            |
|         |   |      | there, NCP's        | else use \@apfnad@ if it's |
|         |   |      | regular attorney is | good                       |
|         |   |      | used, and if that's |                            |
|         |   |      | not there, NCP's    | If \@piattyfnad@ or        |
|         |   |      | name and address is | \@apattyfnad@ used, print  |
|         |   |      | used.               |                            |
|         |   |      |                     | 'Claimant Attorney:'       |
|         |   |      |                     | \@piattyfnrl@              |
|         |   |      |                     |                            |
|         |   |      |                     | or \@apattyfnad@           |
|         |   |      |                     |                            |
|         |   |      |                     | If \@apfnad@ used, print   |
|         |   |      |                     |                            |
|         |   |      |                     | 'Claimant:' \@apfnad@      |
+---------+---+------+---------------------+----------------------------+
| \@pipe  | Y | \    | PI claim -- Date    | C                          |
| ndfldt@ |   | @pic | lien was filed      | e005dbd.apiclienm.iclnrldt |
|         |   | laim |                     |                            |
|         |   | seq@ | in court by CSED    | Absentpt key: \@ap@        |
|         |   |      | local office --     |                            |
|         |   |      |                     | Apiclaim key: ictype=PI    |
|         |   |      | Used to pend the    |                            |
|         |   |      | document if not     | icseqd= 9's comp of        |
|         |   |      | found.- displays as |                            |
|         |   |      | spaces on document. | \@piclaimseq@              |
|         |   |      |                     |                            |
|         |   |      |                     | Apiclien key: cscfgn       |
+---------+---+------+---------------------+----------------------------+
| \@pipe  | Y | \    | PI claim -- Date    | C                          |
| ndrldt@ |   | @pic | lien was released   | e005dbd.apiclienm.iclnrldt |
|         |   | laim | in through          |                            |
|         |   | seq@ | transaction LENL.   | Absentpt key: \@ap@        |
|         |   |      | Used to pend the    |                            |
|         |   |      | document if not     | Apiclaim key: ictype=PI    |
|         |   |      | found.- displays as |                            |
|         |   |      | spaces on document. | icseqd= 9's comp of        |
|         |   |      |                     |                            |
|         |   |      |                     | \@piclaimseq@              |
|         |   |      |                     |                            |
|         |   |      |                     | Apiclien key: cscfgn       |
+---------+---+------+---------------------+----------------------------+
| \@ap    | Y | \    | Ap full name and    | Ce003dbd.                  |
| nfadbc@ |   | @ap@ | address             | a                          |
|         |   |      |                     | ddressg.csafname,csamname, |
|         |   |      |                     |                            |
|         |   |      |                     | Csalname, csaddrl1,        |
|         |   |      |                     | csaddrl2                   |
|         |   |      |                     |                            |
|         |   |      |                     | Adrsroot key: CS@ap@       |
|         |   |      |                     | spaces                     |
|         |   |      |                     |                            |
|         |   |      |                     | Addressg key: csadrtyp=01  |
|         |   |      |                     |                            |
|         |   |      |                     | csatpseq= 000              |
|         |   |      |                     |                            |
|         |   |      |                     | csapndsq=000               |
+---------+---+------+---------------------+----------------------------+
| \@fgna  | N | \    | Total arrears for   | Ce459.fmfgbal.fmpdue +     |
| rrears@ |   | @bp@ | an FGN              | fmjdmdue + fmjdrem         |
|         |   |      |                     |                            |
|         |   |      | Comprised of past   |                            |
|         |   |      | due on current      |                            |
|         |   |      | support plus past   |                            |
|         |   |      | due on judgments    |                            |
|         |   |      | plus not-yet-due on |                            |
|         |   |      | judgments. (As seen |                            |
|         |   |      | on                  |                            |
|         |   |      |                     |                            |
|         |   |      | CFFBI). Format      |                            |
|         |   |      | \$\$\$,\$\$0.00     |                            |
+---------+---+------+---------------------+----------------------------+

**[Testing Procedures:]{.underline}**

The following jobs can be run by programmers at the request of Testers:

1.  [Cy691trn]{.underline} -- Create file to upload to CSLN from OSIS
    obligors that owe more \$500

> [Output]{.underline}: cy691dsp.doc -- Display created file records
>
> cy691r01.doc -- Exception report -- records that could not be loaded

2.  [Cx794trl]{.underline} -- Create a WC Court load file based on SSN's
    requested by CPM

> (List of claims in Prod can be found in WC-CSLN/Production on Outlook
> )
>
> [Output]{.underline}: cx794dsp.doc - Display of records in load file

3.  [Cx794trn]{.underline} -- Create WC Court claims and liens on OSIS
    from load file.

> [Output]{.underline}: cy720mwc.doc -- Report of WC Court Liens
> created.

4.  [Cx977trl]{.underline} -- Create a CompSource load file based on
    SSN's requested by CPM

> (List of claims in Prod can be found in WC-CSLN/Production on Outlook
> )
>
> [Output]{.underline}: cx977dsp.doc - Display of records in load file

5.  [Cx977trn]{.underline} -- Create CompSource claims and liens on OSIS
    from load file.

> [Output]{.underline}: cy720mcs.doc -- List of CompSource liens
> created.

6.  [Cy733trl]{.underline} -- Create a CSLN load file based on NCP's
    requested by CPM

> (List of claims sent by CSLN for testing can be found in
>
> WC-CSLN/Training/cy733dsp.doc on Outlook )
>
> [Output]{.underline}: cx733dsp.doc - Display of records in load file

7.  [Cx733trn]{.underline} -- Create CSLN claims and liens on OSIS from
    load file.

> [Output]{.underline}: cy720mln.doc -- List of CSLN Liens created.

8.  [Cy720trn]{.underline} -- Create liens for WC Court, CompSource, and
    CSLN claims going

> back two years, for cases that didn't qualify previously but do now.
>
> [Output]{.underline}: cy720mnt.doc - List of newly qualifying liens
> created.

9.  [Cy741trn]{.underline} -- Create WC Income Assignments for new Liens

> [Output]{.underline}: cy741r01.doc -- List of IA's created

10. [Ce264trn]{.underline} -- Create Active Lien and Rolling Year
    Collection Reports

> [Output]{.underline}: ce264mc1.doc -- WC Rolling Year Collection
> report
>
> ce264mc2.doc -- PI Rolling Year Collection report
>
> ce264mc3.doc -- FIDM Rolling Year Collection report
>
> ce264ml1.doc -- Active WC Liens Report
>
> ce264ml2.doc -- Active PI Liens Report
>
> ce264mer.doc -- Receipt Error report

11. [Cy740trn]{.underline} -- Create existing WC Lien report

> [Output]{.underline}: cy740r01.doc -- Existing WC Liens report