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Related Objects of Interest: unchecked , checkbox , table , checked , formfield , additionaldetails , applicantapplication , applicantcurrentemployer , applicantotherincome , applicantsemergencycontact
1.1k images 22 classes
checkbox table Office use only additionalDetails applicantApplication applicantCurrentEmployer applicantOtherIncome applicantsemergencycontact applicantsvehicle blockoftext currentAddress formfield otherHouseholdMember otherinformation previousAddress spousesApplication spousesCurrentEmployer spousesOtherIncome spousesemergencycontact spousesvehicle
172 images 6 classes
1k images 22 classes
checkbox table Office use only additionalDetails applicantApplication applicantCurrentEmployer applicantOtherIncome applicantsemergencycontact applicantsvehicle blockoftext currentAddress formfield otherHouseholdMember otherinformation previousAddress spousesApplication spousesCurrentEmployer spousesOtherIncome spousesemergencycontact spousesvehicle
209 images 14 classes 3 models
836 images 63 classes
Allstate_Denial_1_Footer_Claim_info Allstate_Denial_1_Header Allstate_Denial_1_Policy_issue Allstate_Denial_2_Footer Allstate_Denial_2_Header Allstate_Denial_2_Table Allstate_Denial_3_Header Allstate_Denial_3_Important_Notice_Footer Allstate_Denial_3_Table Allstate_EOR_1_Explanation Allstate_EOR_1_Footer Allstate_EOR_1_Header Allstate_EOR_1_Table Allstate_Payment_1_Explanation Allstate_Payment_1_Footer_Check Allstate_Payment_1_Header Allstate_Payment_1_Header_Logo Allstate_Table Allstate_Verification_1_Footer_Explanation Allstate_Verification_1_Header
99 images 70 classes
AlcoholUse_No AlcoholUse_Yes AnsweredYesToHealthQuestion_No AnsweredYesToHealthQuestion_Notsure AnsweredYesToHealthQuestion_Yes Anxiety_No Anxiety_Notsure Anxiety_Yes BackProblems_No BackProblems_Yes BloodClots_No BloodClots_Yes BoneProblems_No BoneProblems_Yes BrainInjury_No BrainInjury_Yes BreathingProblems_No BrokenBone_No BrokenBone_Yes Cancer_No
942 images 50 classes
Admin_signature Apt_no Child-S_homeroom_teacher City Clinic_code Date_of_service Dosage_ml Email_address Fever_no_not_selected Fever_no_selected Fever_yes_not_selected Flu_no_not_selected Flu_no_selected Flu_yes_not_selected Flu_yes_selected Insurance_company_name Lot_number Medicaid_number Medicare_number Member_id
164 images 9 classes
1.1k images 23 classes 1 model
checkbox signature table Office use only additionalDetails applicantApplication applicantCurrentEmployer applicantOtherIncome applicantsemergencycontact applicantsvehicle blockoftext currentAddress formfield otherHouseholdMember otherinformation previousAddress spousesApplication spousesCurrentEmployer spousesOtherIncome spousesemergencycontact
99 images 32 classes
BothEyesCorrected_Data BothEyesUnCorrected_Data BpOptionalAlternateDiastolic_Data BpOptionalAlternateSystolic_Data BpSittingDiastolic_Data BpSittingSystolic_Data HeightFeet_Data HeightFeet_Label HeightInches_Data HeightInches_Label LaboratoryBlood_Data LaboratoryBlood_Label LaboratoryProtein_Data LaboratoryProtein_Label LaboratorySpGr_Data LaboratorySpGr_Label LaboratorySugar_Data LaboratorySugar_Label LeftEarFeet_Data LeftEarFeet_Label
86 images 20 classes
object question_above question_below question_embedded question_left question_right select_box select_circle select_cross text_entry_box text_entry_char text_entry_char_group text_entry_date_group text_entry_date_partial text_entry_dotted_line text_entry_line text_entry_no_line text_entry_phone_group text_entry_phone_last text_group_phone_first
2.7k images 10 classes
1.1k images 9 classes
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Age Concomitant Drugs and Dates of Administration Country DOB Daily Dose Date Received by Manufacturer Date of this Report Did Reaction Abate Did Reaction Reappear Indication For Use Initials MFR Control Number Name and Address of Reporter Name and Addresss of Manufacturer Other Relevant History Reaction Onset Reactions Remarks Report Source Report Type
2.3k images 21 classes
checkbox table additionalDetails applicantApplication applicantCurrentEmployer applicantOtherIncome applicantsEmergencyContact applicantsVehicle blockOfText currentAddress formfield officeUseOnly otherHouseholdMember otherInformation previousAddress spousesApplication spousesCurrentEmployer spousesEmergencycontact spousesOtherIncome spousesVehicle