Schema Stips.xsd

attribute form default:	unqualified
element form default:	qualified
targetNamespace:	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS

Elements	Complex types
Stips	ApplicantAttorneyRequiresAFeeOf
	ApplicationSection
	BenefitsSection
	EmployerInfo
	EmployerSection
	HeaderSection
	InterpreterLicense
	OtherStipulations

attribute form default:	unqualified
element form default:	qualified
targetNamespace:	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains

Groups	Complex types
AddressGroup	Address
DeclarantSignatureGroup	AttorneyorRep
EarningAmountGroup	AttorneyorRepWithoutNumber
EmployerRoleTypeGroup	CheckBox
InjuryInformationGroup	DateRangeMandatory
InjuryTypeAndDates	DoctorInformation
PersonNameGroup	EmployerName
RoleTypeGroup	InjuryInformation
SignatureAddressGroup	OrganizationInformation
VenueInformationGroup	PersonInformation
	PersonName
	SelectionType126
	SelectionType129
	SelectionType84
	SelectionType85
	Signature
	Signatures
	StartAndEndDate
	VenueInformation

attribute form default:	unqualified
element form default:	qualified
targetNamespace:	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields

Simple types

addressLine

amount

attorneyorAuthRepTypeCode

bodyPart

city

claimNumber

employerName

employerRoleTypeCode

fileOnBehalfTypeCode

filerRoleTypeCode

firstName

fullAddress

fullLongName

fullName

hearingTypeCode

initialCheckBox

injuryTypeCode

laborAdjustmentTypeCode

lastName

lawFirmNumber

lienUnemploymentCompensationType

middleInitial

occupationText

organizationName

phoneNumber

prefix

sftField

signature

socialSecurityNumber

state

venueLocationTypeCode

venueOfficeCode

zip4Code

zip5Code

attribute form default:	unqualified
element form default:	qualified
targetNamespace:	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/CommonFields

Simple types

caseNumber

checkBox

ptsDate

typeCode1

typeCode3

versionNumber

element Stips

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
properties	content  complex
children	HeaderSection ApplicationSection InjuredWorkerSection EmployersSection BenefitsSection OtherStipulationsSection InjuredWorkerAttorneyOrAuthorizedRepSection DefendantsAttorneyAOrAuthorizedRepSection InterpreterLicenseSection
annotation	documentation Stipulations with Request for Award
source	<xs:element name="Stips">   <xs:annotation>     <xs:documentation>Stipulations with Request for Award</xs:documentation>   </xs:annotation>   <xs:complexType>     <xs:sequence>       <xs:element name="HeaderSection" type="HeaderSection"/>       <xs:element name="ApplicationSection" type="ApplicationSection">         <xs:annotation>           <xs:documentation>Coversheet data, SSN and venue location</xs:documentation>         </xs:annotation>       </xs:element>       <xs:element name="InjuredWorkerSection" type="CD:PersonInformation">         <xs:annotation>           <xs:documentation>Applicant name and address</xs:documentation>         </xs:annotation>       </xs:element>       <xs:element name="EmployersSection" type="EmployerInfo" maxOccurs="4">         <xs:annotation>           <xs:documentation>If there is an Employer then there has to be a Claims Administrator</xs:documentation>         </xs:annotation>       </xs:element>       <xs:element name="BenefitsSection" type="BenefitsSection">         <xs:annotation>           <xs:documentation>Injured worker name and address. Permanent or temporary disability information. </xs:documentation>         </xs:annotation>       </xs:element>       <xs:element name="OtherStipulationsSection" type="OtherStipulations" minOccurs="0"/>       <xs:element name="InjuredWorkerAttorneyOrAuthorizedRepSection" type="CD:AttorneyorRep" minOccurs="0"/>       <xs:element name="DefendantsAttorneyAOrAuthorizedRepSection" type="CD:AttorneyorRep" minOccurs="0" maxOccurs="3"/>       <xs:element name="InterpreterLicenseSection" type="InterpreterLicense" minOccurs="0"/>     </xs:sequence>   </xs:complexType> </xs:element>

element Stips/HeaderSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	HeaderSection
properties	isRef  0 content  complex
children	VersionNumber
source	<xs:element name="HeaderSection" type="HeaderSection"/>

element Stips/ApplicationSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	ApplicationSection
properties	isRef  0 content  complex
children	SocialSecurityNumber Venue DateOfBirth Occupation Group InjuryInformation
annotation	documentation Coversheet data, SSN and venue location
source	<xs:element name="ApplicationSection" type="ApplicationSection">   <xs:annotation>     <xs:documentation>Coversheet data, SSN and venue location</xs:documentation>   </xs:annotation> </xs:element>

element Stips/InjuredWorkerSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	PersonInformation
properties	isRef  0 content  complex
children	Name Address
annotation	documentation Applicant name and address
source	<xs:element name="InjuredWorkerSection" type="CD:PersonInformation">   <xs:annotation>     <xs:documentation>Applicant name and address</xs:documentation>   </xs:annotation> </xs:element>

element Stips/EmployersSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	EmployerInfo
properties	isRef  0 minOcc  1 maxOcc  4 content  complex
children	EmployerSection InsuranceCarrier ClaimsAdministrator
annotation	documentation If there is an Employer then there has to be a Claims Administrator
source	<xs:element name="EmployersSection" type="EmployerInfo" maxOccurs="4">   <xs:annotation>     <xs:documentation>If there is an Employer then there has to be a Claims Administrator</xs:documentation>   </xs:annotation> </xs:element>

element Stips/BenefitsSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	BenefitsSection
properties	isRef  0 content  complex
children	BenefitsInformation
annotation	documentation Injured worker name and address. Permanent or temporary disability information.
source	<xs:element name="BenefitsSection" type="BenefitsSection">   <xs:annotation>     <xs:documentation>Injured worker name and address. Permanent or temporary disability information. </xs:documentation>   </xs:annotation> </xs:element>

element Stips/OtherStipulationsSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	OtherStipulations
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	OtherStipulationDescription Date ApplicantSignature
source	<xs:element name="OtherStipulationsSection" type="OtherStipulations" minOccurs="0"/>

element Stips/InjuredWorkerAttorneyOrAuthorizedRepSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	AttorneyorRep
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	AttorneyorAuthRepTypeCode EmployerName LawFirmNumber Name Address
source	<xs:element name="InjuredWorkerAttorneyOrAuthorizedRepSection" type="CD:AttorneyorRep" minOccurs="0"/>

element Stips/DefendantsAttorneyAOrAuthorizedRepSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	AttorneyorRep
properties	isRef  0 minOcc  0 maxOcc  3 content  complex
children	AttorneyorAuthRepTypeCode EmployerName LawFirmNumber Name Address
source	<xs:element name="DefendantsAttorneyAOrAuthorizedRepSection" type="CD:AttorneyorRep" minOccurs="0" maxOccurs="3"/>

element Stips/InterpreterLicenseSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	InterpreterLicense
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	InterpreterName InterpreterLicenseNumber
source	<xs:element name="InterpreterLicenseSection" type="InterpreterLicense" minOccurs="0"/>

complexType ApplicantAttorneyRequiresAFeeOf

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
children	Fee FeesToBeCommutedAsFollows
used by	element  BenefitsSection/BenefitsInformation/ApplicantAttorneyRequiresAFeeOf
annotation	documentation Information to compute the attorney fee
source	<xs:complexType name="ApplicantAttorneyRequiresAFeeOf">   <xs:annotation>     <xs:documentation>Information to compute the attorney fee</xs:documentation>   </xs:annotation>   <xs:sequence>     <xs:element name="Fee" type="FF:amount" minOccurs="0"/>     <xs:element name="FeesToBeCommutedAsFollows" minOccurs="0">       <xs:annotation>         <xs:documentation>Limited to 256 characters</xs:documentation>       </xs:annotation>       <xs:simpleType>         <xs:restriction base="xs:string">           <xs:maxLength value="256"/>         </xs:restriction>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:complexType>

element ApplicantAttorneyRequiresAFeeOf/Fee

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	amount
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minInclusive  0.00  maxInclusive  9999999999999.99
source	<xs:element name="Fee" type="FF:amount" minOccurs="0"/>

element ApplicantAttorneyRequiresAFeeOf/FeesToBeCommutedAsFollows

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  256
annotation	documentation Limited to 256 characters
source	<xs:element name="FeesToBeCommutedAsFollows" minOccurs="0">   <xs:annotation>     <xs:documentation>Limited to 256 characters</xs:documentation>   </xs:annotation>   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="256"/>     </xs:restriction>   </xs:simpleType> </xs:element>

complexType ApplicationSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
children	SocialSecurityNumber Venue DateOfBirth Occupation Group InjuryInformation
used by	element  Stips/ApplicationSection
annotation	documentation Contains the SSN, Date of Injury and Venu information
source	<xs:complexType name="ApplicationSection">   <xs:annotation>     <xs:documentation> Contains the SSN, Date of Injury and Venu information</xs:documentation>   </xs:annotation>   <xs:sequence>     <xs:element name="SocialSecurityNumber" type="FF:socialSecurityNumber" minOccurs="0"/>     <xs:element name="Venue" type="CD:VenueInformation"/>     <xs:element name="DateOfBirth" type="CF:ptsDate"/>     <xs:element name="Occupation" type="FF:occupationText" minOccurs="0"/>     <xs:element name="Group" minOccurs="0">       <xs:simpleType>         <xs:restriction base="xs:string">           <xs:maxLength value="3"/>         </xs:restriction>       </xs:simpleType>     </xs:element>     <xs:element name="InjuryInformation" minOccurs="0">       <xs:complexType>         <xs:complexContent>           <xs:extension base="CD:InjuryInformation">             <xs:sequence>               <xs:element name="BodyPartFreeText" minOccurs="0">                 <xs:simpleType>                   <xs:restriction base="xs:string">                     <xs:maxLength value="455"/>                   </xs:restriction>                 </xs:simpleType>               </xs:element>               <xs:element name="Address" minOccurs="1">                 <xs:complexType>                   <xs:sequence>                     <xs:element name="City">                       <xs:simpleType>                         <xs:restriction base="FF:city"/>                       </xs:simpleType>                     </xs:element>                     <xs:element name="State" type="FF:state"/>                   </xs:sequence>                 </xs:complexType>               </xs:element>             </xs:sequence>           </xs:extension>         </xs:complexContent>       </xs:complexType>     </xs:element>   </xs:sequence> </xs:complexType>

element ApplicationSection/SocialSecurityNumber

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	socialSecurityNumber
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  length  9  whiteSpace  collapse  pattern  ([0-9])*
source	<xs:element name="SocialSecurityNumber" type="FF:socialSecurityNumber" minOccurs="0"/>

element ApplicationSection/Venue

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	VenueInformation
properties	isRef  0 content  complex
children	VenueLocationCode VenueOfficeCode
source	<xs:element name="Venue" type="CD:VenueInformation"/>

element ApplicationSection/DateOfBirth

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	ptsDate
properties	isRef  0 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateOfBirth" type="CF:ptsDate"/>

element ApplicationSection/Occupation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	occupationText
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  56  whiteSpace  preserve
source	<xs:element name="Occupation" type="FF:occupationText" minOccurs="0"/>

element ApplicationSection/Group

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  3
source	<xs:element name="Group" minOccurs="0">   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="3"/>     </xs:restriction>   </xs:simpleType> </xs:element>

element ApplicationSection/InjuryInformation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	extension of InjuryInformation
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	InjuryType DateOfInjuryStart DateOfInjuryEnd BodyPartInformation BodyPartFreeText Address
source	<xs:element name="InjuryInformation" minOccurs="0">   <xs:complexType>     <xs:complexContent>       <xs:extension base="CD:InjuryInformation">         <xs:sequence>           <xs:element name="BodyPartFreeText" minOccurs="0">             <xs:simpleType>               <xs:restriction base="xs:string">                 <xs:maxLength value="455"/>               </xs:restriction>             </xs:simpleType>           </xs:element>           <xs:element name="Address" minOccurs="1">             <xs:complexType>               <xs:sequence>                 <xs:element name="City">                   <xs:simpleType>                     <xs:restriction base="FF:city"/>                   </xs:simpleType>                 </xs:element>                 <xs:element name="State" type="FF:state"/>               </xs:sequence>             </xs:complexType>           </xs:element>         </xs:sequence>       </xs:extension>     </xs:complexContent>   </xs:complexType> </xs:element>

element ApplicationSection/InjuryInformation/BodyPartFreeText

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  455
source	<xs:element name="BodyPartFreeText" minOccurs="0">   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="455"/>     </xs:restriction>   </xs:simpleType> </xs:element>

element ApplicationSection/InjuryInformation/Address

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
properties	isRef  0 content  complex
children	City State
source	<xs:element name="Address" minOccurs="1">   <xs:complexType>     <xs:sequence>       <xs:element name="City">         <xs:simpleType>           <xs:restriction base="FF:city"/>         </xs:simpleType>       </xs:element>       <xs:element name="State" type="FF:state"/>     </xs:sequence>   </xs:complexType> </xs:element>

element ApplicationSection/InjuryInformation/Address/City

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of city
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  25  whiteSpace  preserve  pattern  ([A-Z' ])*
source	<xs:element name="City">   <xs:simpleType>     <xs:restriction base="FF:city"/>   </xs:simpleType> </xs:element>

element ApplicationSection/InjuryInformation/Address/State

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	state
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  2  maxLength  2  whiteSpace  preserve  pattern  ([A-Z])*
source	<xs:element name="State" type="FF:state"/>

complexType BenefitsSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
children	BenefitsInformation
used by	element  Stips/BenefitsSection
source	<xs:complexType name="BenefitsSection">   <xs:sequence>     <xs:element name="BenefitsInformation">       <xs:annotation>         <xs:documentation>All the disability payment information</xs:documentation>       </xs:annotation>       <xs:complexType>         <xs:sequence>           <xs:element name="TemporaryDisability" minOccurs="0">             <xs:annotation>               <xs:documentation>Optional, however, is the TemporaryDisabilityStartDate is entered then the EndDate and Amount are  required</xs:documentation>             </xs:annotation>             <xs:complexType>               <xs:sequence>                 <xs:element name="TemporaryDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>                 <xs:element name="DatesTemporaryDisability" type="CD:StartAndEndDate" minOccurs="0"/>               </xs:sequence>             </xs:complexType>           </xs:element>           <xs:element name="AdditionalTemporaryDisability" minOccurs="0">             <xs:annotation>               <xs:documentation>Optional, however if the Start date is entered then the endDate, rate and amount are required.</xs:documentation>             </xs:annotation>             <xs:complexType>               <xs:sequence>                 <xs:element name="DateAdditionalTemporaryDisability" type="CD:StartAndEndDate" minOccurs="0"/>                 <xs:element name="AdditionaltemporaryDisabilityRate" type="FF:amount" minOccurs="0"/>                 <xs:element name="AdditionalTemporaryDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>               </xs:sequence>             </xs:complexType>           </xs:element>           <xs:element name="PermanentDisability" minOccurs="0">             <xs:annotation>               <xs:documentation>The permanent disability amount, start and end dates</xs:documentation>             </xs:annotation>             <xs:complexType>               <xs:sequence>                 <xs:element name="PermanentDisabilityIndemnityPercent" type="xs:decimal" minOccurs="0"/>                 <xs:element name="PermanentDisabilityIndemnityRate" type="FF:amount" minOccurs="0"/>                 <xs:element name="DatePermanentDisabilityIndemnityStarts" type="CF:ptsDate" minOccurs="0"/>                 <xs:element name="PermanentDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>                 <xs:element name="LifePensionAmount" type="FF:amount" minOccurs="0"/>               </xs:sequence>             </xs:complexType>           </xs:element>           <xs:element name="LaborCodeAdjustment" minOccurs="0">             <xs:complexType>               <xs:sequence>                 <xs:element name="AdjustmentType" type="FF:laborAdjustmentTypeCode" minOccurs="0"/>                 <xs:element name="AdjustmentRate" type="FF:amount" minOccurs="0"/>                 <xs:element name="DateOfAdjustmentStart" type="CF:ptsDate" minOccurs="0"/>               </xs:sequence>             </xs:complexType>           </xs:element>           <xs:element name="InformalRatingCaseNumber" minOccurs="0">             <xs:annotation>               <xs:documentation>Limited to 12 characters</xs:documentation>             </xs:annotation>             <xs:simpleType>               <xs:restriction base="xs:string">                 <xs:maxLength value="12"/>               </xs:restriction>             </xs:simpleType>           </xs:element>           <xs:element name="NeedForMedicalTreatment" type="CF:checkBox">             <xs:annotation>               <xs:documentation>Radio buttons indicating the need for medical treatment to cure or relieve effects</xs:documentation>             </xs:annotation>           </xs:element>           <xs:element name="Medical-LegalExpensesPayableByDefendantAsFollows" minOccurs="0">             <xs:annotation>               <xs:documentation>Limited to 189 characters</xs:documentation>             </xs:annotation>             <xs:simpleType>               <xs:restriction base="xs:string">                 <xs:maxLength value="189"/>               </xs:restriction>             </xs:simpleType>           </xs:element>           <xs:element name="ApplicantAttorneyRequiresAFeeOf" type="ApplicantAttorneyRequiresAFeeOf" minOccurs="0"/>           <xs:element name="LiensAgainstCompensation" minOccurs="0">             <xs:annotation>               <xs:documentation>Limited to 440 characters</xs:documentation>             </xs:annotation>             <xs:simpleType>               <xs:restriction base="xs:string">                 <xs:maxLength value="440"/>               </xs:restriction>             </xs:simpleType>           </xs:element>         </xs:sequence>       </xs:complexType>     </xs:element>   </xs:sequence> </xs:complexType>

element BenefitsSection/BenefitsInformation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
properties	isRef  0 content  complex
children	TemporaryDisability AdditionalTemporaryDisability PermanentDisability LaborCodeAdjustment InformalRatingCaseNumber NeedForMedicalTreatment Medical-LegalExpensesPayableByDefendantAsFollows ApplicantAttorneyRequiresAFeeOf LiensAgainstCompensation
annotation	documentation All the disability payment information
source	<xs:element name="BenefitsInformation">   <xs:annotation>     <xs:documentation>All the disability payment information</xs:documentation>   </xs:annotation>   <xs:complexType>     <xs:sequence>       <xs:element name="TemporaryDisability" minOccurs="0">         <xs:annotation>           <xs:documentation>Optional, however, is the TemporaryDisabilityStartDate is entered then the EndDate and Amount are  required</xs:documentation>         </xs:annotation>         <xs:complexType>           <xs:sequence>             <xs:element name="TemporaryDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>             <xs:element name="DatesTemporaryDisability" type="CD:StartAndEndDate" minOccurs="0"/>           </xs:sequence>         </xs:complexType>       </xs:element>       <xs:element name="AdditionalTemporaryDisability" minOccurs="0">         <xs:annotation>           <xs:documentation>Optional, however if the Start date is entered then the endDate, rate and amount are required.</xs:documentation>         </xs:annotation>         <xs:complexType>           <xs:sequence>             <xs:element name="DateAdditionalTemporaryDisability" type="CD:StartAndEndDate" minOccurs="0"/>             <xs:element name="AdditionaltemporaryDisabilityRate" type="FF:amount" minOccurs="0"/>             <xs:element name="AdditionalTemporaryDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>           </xs:sequence>         </xs:complexType>       </xs:element>       <xs:element name="PermanentDisability" minOccurs="0">         <xs:annotation>           <xs:documentation>The permanent disability amount, start and end dates</xs:documentation>         </xs:annotation>         <xs:complexType>           <xs:sequence>             <xs:element name="PermanentDisabilityIndemnityPercent" type="xs:decimal" minOccurs="0"/>             <xs:element name="PermanentDisabilityIndemnityRate" type="FF:amount" minOccurs="0"/>             <xs:element name="DatePermanentDisabilityIndemnityStarts" type="CF:ptsDate" minOccurs="0"/>             <xs:element name="PermanentDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>             <xs:element name="LifePensionAmount" type="FF:amount" minOccurs="0"/>           </xs:sequence>         </xs:complexType>       </xs:element>       <xs:element name="LaborCodeAdjustment" minOccurs="0">         <xs:complexType>           <xs:sequence>             <xs:element name="AdjustmentType" type="FF:laborAdjustmentTypeCode" minOccurs="0"/>             <xs:element name="AdjustmentRate" type="FF:amount" minOccurs="0"/>             <xs:element name="DateOfAdjustmentStart" type="CF:ptsDate" minOccurs="0"/>           </xs:sequence>         </xs:complexType>       </xs:element>       <xs:element name="InformalRatingCaseNumber" minOccurs="0">         <xs:annotation>           <xs:documentation>Limited to 12 characters</xs:documentation>         </xs:annotation>         <xs:simpleType>           <xs:restriction base="xs:string">             <xs:maxLength value="12"/>           </xs:restriction>         </xs:simpleType>       </xs:element>       <xs:element name="NeedForMedicalTreatment" type="CF:checkBox">         <xs:annotation>           <xs:documentation>Radio buttons indicating the need for medical treatment to cure or relieve effects</xs:documentation>         </xs:annotation>       </xs:element>       <xs:element name="Medical-LegalExpensesPayableByDefendantAsFollows" minOccurs="0">         <xs:annotation>           <xs:documentation>Limited to 189 characters</xs:documentation>         </xs:annotation>         <xs:simpleType>           <xs:restriction base="xs:string">             <xs:maxLength value="189"/>           </xs:restriction>         </xs:simpleType>       </xs:element>       <xs:element name="ApplicantAttorneyRequiresAFeeOf" type="ApplicantAttorneyRequiresAFeeOf" minOccurs="0"/>       <xs:element name="LiensAgainstCompensation" minOccurs="0">         <xs:annotation>           <xs:documentation>Limited to 440 characters</xs:documentation>         </xs:annotation>         <xs:simpleType>           <xs:restriction base="xs:string">             <xs:maxLength value="440"/>           </xs:restriction>         </xs:simpleType>       </xs:element>     </xs:sequence>   </xs:complexType> </xs:element>

element BenefitsSection/BenefitsInformation/TemporaryDisability

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	TemporaryDisabilityIndemnityPaid DatesTemporaryDisability
annotation	documentation Optional, however, is the TemporaryDisabilityStartDate is entered then the EndDate and Amount are  required
source	<xs:element name="TemporaryDisability" minOccurs="0">   <xs:annotation>     <xs:documentation>Optional, however, is the TemporaryDisabilityStartDate is entered then the EndDate and Amount are  required</xs:documentation>   </xs:annotation>   <xs:complexType>     <xs:sequence>       <xs:element name="TemporaryDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>       <xs:element name="DatesTemporaryDisability" type="CD:StartAndEndDate" minOccurs="0"/>     </xs:sequence>   </xs:complexType> </xs:element>

element BenefitsSection/BenefitsInformation/TemporaryDisability/TemporaryDisabilityIndemnityPaid

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	amount
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minInclusive  0.00  maxInclusive  9999999999999.99
source	<xs:element name="TemporaryDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/TemporaryDisability/DatesTemporaryDisability

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	StartAndEndDate
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	DateStarts DateEnds
source	<xs:element name="DatesTemporaryDisability" type="CD:StartAndEndDate" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/AdditionalTemporaryDisability

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	DateAdditionalTemporaryDisability AdditionaltemporaryDisabilityRate AdditionalTemporaryDisabilityIndemnityPaid
annotation	documentation Optional, however if the Start date is entered then the endDate, rate and amount are required.
source	<xs:element name="AdditionalTemporaryDisability" minOccurs="0">   <xs:annotation>     <xs:documentation>Optional, however if the Start date is entered then the endDate, rate and amount are required.</xs:documentation>   </xs:annotation>   <xs:complexType>     <xs:sequence>       <xs:element name="DateAdditionalTemporaryDisability" type="CD:StartAndEndDate" minOccurs="0"/>       <xs:element name="AdditionaltemporaryDisabilityRate" type="FF:amount" minOccurs="0"/>       <xs:element name="AdditionalTemporaryDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>     </xs:sequence>   </xs:complexType> </xs:element>

element BenefitsSection/BenefitsInformation/AdditionalTemporaryDisability/DateAdditionalTemporaryDisability

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	StartAndEndDate
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	DateStarts DateEnds
source	<xs:element name="DateAdditionalTemporaryDisability" type="CD:StartAndEndDate" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/AdditionalTemporaryDisability/AdditionaltemporaryDisabilityRate

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	amount
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minInclusive  0.00  maxInclusive  9999999999999.99
source	<xs:element name="AdditionaltemporaryDisabilityRate" type="FF:amount" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/AdditionalTemporaryDisability/AdditionalTemporaryDisabilityIndemnityPaid

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	amount
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minInclusive  0.00  maxInclusive  9999999999999.99
source	<xs:element name="AdditionalTemporaryDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/PermanentDisability

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	PermanentDisabilityIndemnityPercent PermanentDisabilityIndemnityRate DatePermanentDisabilityIndemnityStarts PermanentDisabilityIndemnityPaid LifePensionAmount
annotation	documentation The permanent disability amount, start and end dates
source	<xs:element name="PermanentDisability" minOccurs="0">   <xs:annotation>     <xs:documentation>The permanent disability amount, start and end dates</xs:documentation>   </xs:annotation>   <xs:complexType>     <xs:sequence>       <xs:element name="PermanentDisabilityIndemnityPercent" type="xs:decimal" minOccurs="0"/>       <xs:element name="PermanentDisabilityIndemnityRate" type="FF:amount" minOccurs="0"/>       <xs:element name="DatePermanentDisabilityIndemnityStarts" type="CF:ptsDate" minOccurs="0"/>       <xs:element name="PermanentDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>       <xs:element name="LifePensionAmount" type="FF:amount" minOccurs="0"/>     </xs:sequence>   </xs:complexType> </xs:element>

element BenefitsSection/BenefitsInformation/PermanentDisability/PermanentDisabilityIndemnityPercent

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	xs:decimal
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
source	<xs:element name="PermanentDisabilityIndemnityPercent" type="xs:decimal" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/PermanentDisability/PermanentDisabilityIndemnityRate

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	amount
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minInclusive  0.00  maxInclusive  9999999999999.99
source	<xs:element name="PermanentDisabilityIndemnityRate" type="FF:amount" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/PermanentDisability/DatePermanentDisabilityIndemnityStarts

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	ptsDate
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DatePermanentDisabilityIndemnityStarts" type="CF:ptsDate" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/PermanentDisability/PermanentDisabilityIndemnityPaid

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	amount
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minInclusive  0.00  maxInclusive  9999999999999.99
source	<xs:element name="PermanentDisabilityIndemnityPaid" type="FF:amount" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/PermanentDisability/LifePensionAmount

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	amount
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minInclusive  0.00  maxInclusive  9999999999999.99
source	<xs:element name="LifePensionAmount" type="FF:amount" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/LaborCodeAdjustment

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	AdjustmentType AdjustmentRate DateOfAdjustmentStart
source	<xs:element name="LaborCodeAdjustment" minOccurs="0">   <xs:complexType>     <xs:sequence>       <xs:element name="AdjustmentType" type="FF:laborAdjustmentTypeCode" minOccurs="0"/>       <xs:element name="AdjustmentRate" type="FF:amount" minOccurs="0"/>       <xs:element name="DateOfAdjustmentStart" type="CF:ptsDate" minOccurs="0"/>     </xs:sequence>   </xs:complexType> </xs:element>

element BenefitsSection/BenefitsInformation/LaborCodeAdjustment/AdjustmentType

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	laborAdjustmentTypeCode
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  I  enumeration  D
source	<xs:element name="AdjustmentType" type="FF:laborAdjustmentTypeCode" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/LaborCodeAdjustment/AdjustmentRate

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	amount
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minInclusive  0.00  maxInclusive  9999999999999.99
source	<xs:element name="AdjustmentRate" type="FF:amount" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/LaborCodeAdjustment/DateOfAdjustmentStart

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	ptsDate
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateOfAdjustmentStart" type="CF:ptsDate" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/InformalRatingCaseNumber

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  12
annotation	documentation Limited to 12 characters
source	<xs:element name="InformalRatingCaseNumber" minOccurs="0">   <xs:annotation>     <xs:documentation>Limited to 12 characters</xs:documentation>   </xs:annotation>   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="12"/>     </xs:restriction>   </xs:simpleType> </xs:element>

element BenefitsSection/BenefitsInformation/NeedForMedicalTreatment

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	checkBox
properties	isRef  0 content  simple
facets	Kind  Value  annotation  whiteSpace  collapse
annotation	documentation Radio buttons indicating the need for medical treatment to cure or relieve effects
source	<xs:element name="NeedForMedicalTreatment" type="CF:checkBox">   <xs:annotation>     <xs:documentation>Radio buttons indicating the need for medical treatment to cure or relieve effects</xs:documentation>   </xs:annotation> </xs:element>

element BenefitsSection/BenefitsInformation/Medical-LegalExpensesPayableByDefendantAsFollows

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  189
annotation	documentation Limited to 189 characters
source	<xs:element name="Medical-LegalExpensesPayableByDefendantAsFollows" minOccurs="0">   <xs:annotation>     <xs:documentation>Limited to 189 characters</xs:documentation>   </xs:annotation>   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="189"/>     </xs:restriction>   </xs:simpleType> </xs:element>

element BenefitsSection/BenefitsInformation/ApplicantAttorneyRequiresAFeeOf

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	ApplicantAttorneyRequiresAFeeOf
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	Fee FeesToBeCommutedAsFollows
source	<xs:element name="ApplicantAttorneyRequiresAFeeOf" type="ApplicantAttorneyRequiresAFeeOf" minOccurs="0"/>

element BenefitsSection/BenefitsInformation/LiensAgainstCompensation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  440
annotation	documentation Limited to 440 characters
source	<xs:element name="LiensAgainstCompensation" minOccurs="0">   <xs:annotation>     <xs:documentation>Limited to 440 characters</xs:documentation>   </xs:annotation>   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="440"/>     </xs:restriction>   </xs:simpleType> </xs:element>

complexType EmployerInfo

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
children	EmployerSection InsuranceCarrier ClaimsAdministrator
used by	element  Stips/EmployersSection
source	<xs:complexType name="EmployerInfo">   <xs:sequence>     <xs:element name="EmployerSection">       <xs:complexType>         <xs:sequence>           <xs:element name="EmployerRoleTypeCode">             <xs:simpleType>               <xs:restriction base="FF:employerRoleTypeCode"/>             </xs:simpleType>           </xs:element>           <xs:element name="EmployerName" type="FF:employerName"/>           <xs:element name="Address" type="CD:Address"/>         </xs:sequence>       </xs:complexType>     </xs:element>     <xs:element name="InsuranceCarrier" type="CD:OrganizationInformation" minOccurs="0"/>     <xs:element name="ClaimsAdministrator" type="CD:OrganizationInformation" minOccurs="0"/>   </xs:sequence> </xs:complexType>

element EmployerInfo/EmployerSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
properties	isRef  0 content  complex
children	EmployerRoleTypeCode EmployerName Address
source	<xs:element name="EmployerSection">   <xs:complexType>     <xs:sequence>       <xs:element name="EmployerRoleTypeCode">         <xs:simpleType>           <xs:restriction base="FF:employerRoleTypeCode"/>         </xs:simpleType>       </xs:element>       <xs:element name="EmployerName" type="FF:employerName"/>       <xs:element name="Address" type="CD:Address"/>     </xs:sequence>   </xs:complexType> </xs:element>

element EmployerInfo/EmployerSection/EmployerRoleTypeCode

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of employerRoleTypeCode
properties	isRef  0 content  simple
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  I  enumeration  S  enumeration  L  enumeration  U
source	<xs:element name="EmployerRoleTypeCode">   <xs:simpleType>     <xs:restriction base="FF:employerRoleTypeCode"/>   </xs:simpleType> </xs:element>

element EmployerInfo/EmployerSection/EmployerName

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	employerName
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  2  maxLength  56  pattern  ([A-Z0-9 ])*
source	<xs:element name="EmployerName" type="FF:employerName"/>

element EmployerInfo/EmployerSection/Address

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	Address
properties	isRef  0 content  complex
children	AddressLine1 City State Zip5Code
source	<xs:element name="Address" type="CD:Address"/>

element EmployerInfo/InsuranceCarrier

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	OrganizationInformation
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	EmployerName Address
source	<xs:element name="InsuranceCarrier" type="CD:OrganizationInformation" minOccurs="0"/>

element EmployerInfo/ClaimsAdministrator

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	OrganizationInformation
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	EmployerName Address
source	<xs:element name="ClaimsAdministrator" type="CD:OrganizationInformation" minOccurs="0"/>

complexType EmployerSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
source	<xs:complexType name="EmployerSection">   <xs:sequence/> </xs:complexType>

complexType HeaderSection

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
children	VersionNumber
used by	element  Stips/HeaderSection
source	<xs:complexType name="HeaderSection">   <xs:sequence>     <xs:element name="VersionNumber" type="CF:versionNumber" fixed="1.5"/>   </xs:sequence> </xs:complexType>

element HeaderSection/VersionNumber

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	versionNumber
properties	isRef  0 content  simple fixed  1.5
source	<xs:element name="VersionNumber" type="CF:versionNumber" fixed="1.5"/>

complexType InterpreterLicense

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
children	InterpreterName InterpreterLicenseNumber
used by	element  Stips/InterpreterLicenseSection
annotation	documentation Interpreter name and license number
source	<xs:complexType name="InterpreterLicense">   <xs:annotation>     <xs:documentation>Interpreter name and license number</xs:documentation>   </xs:annotation>   <xs:sequence>     <xs:element name="InterpreterName" minOccurs="0">       <xs:simpleType>         <xs:restriction base="FF:fullName">           <xs:maxLength value="40"/>         </xs:restriction>       </xs:simpleType>     </xs:element>     <xs:element name="InterpreterLicenseNumber" minOccurs="0">       <xs:simpleType>         <xs:restriction base="xs:string">           <xs:maxLength value="15"/>         </xs:restriction>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:complexType>

element InterpreterLicense/InterpreterName

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of fullName
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minLength  2  maxLength  40  pattern  ([A-Z 0-9])*
source	<xs:element name="InterpreterName" minOccurs="0">   <xs:simpleType>     <xs:restriction base="FF:fullName">       <xs:maxLength value="40"/>     </xs:restriction>   </xs:simpleType> </xs:element>

element InterpreterLicense/InterpreterLicenseNumber

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  15
source	<xs:element name="InterpreterLicenseNumber" minOccurs="0">   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="15"/>     </xs:restriction>   </xs:simpleType> </xs:element>

complexType OtherStipulations

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
children	OtherStipulationDescription Date ApplicantSignature
used by	element  Stips/OtherStipulationsSection
annotation	documentation Other stipulation information
source	<xs:complexType name="OtherStipulations">   <xs:annotation>     <xs:documentation>Other stipulation information</xs:documentation>   </xs:annotation>   <xs:sequence>     <xs:element name="OtherStipulationDescription" minOccurs="0">       <xs:simpleType>         <xs:restriction base="xs:string">           <xs:maxLength value="1024"/>         </xs:restriction>       </xs:simpleType>     </xs:element>     <xs:element name="Date" type="CF:ptsDate" minOccurs="0"/>     <xs:element name="ApplicantSignature" type="FF:signature" minOccurs="0"/>   </xs:sequence> </xs:complexType>

element OtherStipulations/OtherStipulationDescription

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  1024
source	<xs:element name="OtherStipulationDescription" minOccurs="0">   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="1024"/>     </xs:restriction>   </xs:simpleType> </xs:element>

element OtherStipulations/Date

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	ptsDate
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="Date" type="CF:ptsDate" minOccurs="0"/>

element OtherStipulations/ApplicantSignature

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/STIPS
type	signature
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  82  whiteSpace  preserve
source	<xs:element name="ApplicantSignature" type="FF:signature" minOccurs="0"/>

group AddressGroup

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	AddressLine1 City State Zip5Code
used by	complexType  Address
source	<xs:group name="AddressGroup">   <xs:sequence>     <xs:element name="AddressLine1" type="FF:addressLine"/>     <xs:element name="City" type="FF:city"/>     <xs:element name="State">       <xs:simpleType>         <xs:restriction base="FF:state"/>       </xs:simpleType>     </xs:element>     <xs:element name="Zip5Code">       <xs:simpleType>         <xs:restriction base="FF:zip5Code">           <xs:whiteSpace value="collapse"/>         </xs:restriction>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:group>

element AddressGroup/AddressLine1

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	addressLine
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  40  whiteSpace  preserve  pattern  ([A-Z0-9 ])*
source	<xs:element name="AddressLine1" type="FF:addressLine"/>

element AddressGroup/City

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	city
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  25  whiteSpace  preserve  pattern  ([A-Z' ])*
source	<xs:element name="City" type="FF:city"/>

element AddressGroup/State

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of state
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  2  maxLength  2  whiteSpace  preserve  pattern  ([A-Z])*
source	<xs:element name="State">   <xs:simpleType>     <xs:restriction base="FF:state"/>   </xs:simpleType> </xs:element>

element AddressGroup/Zip5Code

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of zip5Code
properties	isRef  0 content  simple
facets	Kind  Value  annotation  length  5  whiteSpace  collapse  pattern  \d\d\d\d\d
source	<xs:element name="Zip5Code">   <xs:simpleType>     <xs:restriction base="FF:zip5Code">       <xs:whiteSpace value="collapse"/>     </xs:restriction>   </xs:simpleType> </xs:element>

group DeclarantSignatureGroup

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	DeclarantSignature DeclarantOrLawFirmName DeclarantOrLawFirmAddress DeclarantOrLawFirmPhoneNumber DateOfSignature
source	<xs:group name="DeclarantSignatureGroup">   <xs:sequence>     <xs:element name="DeclarantSignature">       <xs:simpleType>         <xs:restriction base="FF:signature">           <xs:minLength value="1"/>         </xs:restriction>       </xs:simpleType>     </xs:element>     <xs:element name="DeclarantOrLawFirmName">       <xs:simpleType>         <xs:restriction base="FF:fullName">           <xs:minLength value="2"/>         </xs:restriction>       </xs:simpleType>     </xs:element>     <xs:element name="DeclarantOrLawFirmAddress">       <xs:simpleType>         <xs:restriction base="FF:fullAddress">           <xs:whiteSpace value="preserve"/>         </xs:restriction>       </xs:simpleType>     </xs:element>     <xs:element name="DeclarantOrLawFirmPhoneNumber" minOccurs="0">       <xs:simpleType>         <xs:restriction base="FF:phoneNumber"/>       </xs:simpleType>     </xs:element>     <xs:element name="DateOfSignature" type="CF:ptsDate"/>   </xs:sequence> </xs:group>

element DeclarantSignatureGroup/DeclarantSignature

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of signature
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  82  whiteSpace  preserve
source	<xs:element name="DeclarantSignature">   <xs:simpleType>     <xs:restriction base="FF:signature">       <xs:minLength value="1"/>     </xs:restriction>   </xs:simpleType> </xs:element>

element DeclarantSignatureGroup/DeclarantOrLawFirmName

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of fullName
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  2  maxLength  56  pattern  ([A-Z 0-9])*
source	<xs:element name="DeclarantOrLawFirmName">   <xs:simpleType>     <xs:restriction base="FF:fullName">       <xs:minLength value="2"/>     </xs:restriction>   </xs:simpleType> </xs:element>

element DeclarantSignatureGroup/DeclarantOrLawFirmAddress

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of fullAddress
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  56  whiteSpace  preserve  pattern  ([A-Z0-9 ])*
source	<xs:element name="DeclarantOrLawFirmAddress">   <xs:simpleType>     <xs:restriction base="FF:fullAddress">       <xs:whiteSpace value="preserve"/>     </xs:restriction>   </xs:simpleType> </xs:element>

element DeclarantSignatureGroup/DeclarantOrLawFirmPhoneNumber

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of phoneNumber
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  10  pattern  \d\d\d\d\d\d\d\d\d\d
source	<xs:element name="DeclarantOrLawFirmPhoneNumber" minOccurs="0">   <xs:simpleType>     <xs:restriction base="FF:phoneNumber"/>   </xs:simpleType> </xs:element>

element DeclarantSignatureGroup/DateOfSignature

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	ptsDate
properties	isRef  0 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateOfSignature" type="CF:ptsDate"/>

group EarningAmountGroup

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	EarningsAmount
source	<xs:group name="EarningAmountGroup">   <xs:sequence>     <xs:element name="EarningsAmount" type="FF:amount" minOccurs="0"/>   </xs:sequence> </xs:group>

element EarningAmountGroup/EarningsAmount

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	amount
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minInclusive  0.00  maxInclusive  9999999999999.99
source	<xs:element name="EarningsAmount" type="FF:amount" minOccurs="0"/>

group EmployerRoleTypeGroup

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	EmployerRoleTypeCode
source	<xs:group name="EmployerRoleTypeGroup">   <xs:sequence>     <xs:element name="EmployerRoleTypeCode">       <xs:simpleType>         <xs:restriction base="FF:employerRoleTypeCode"/>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:group>

element EmployerRoleTypeGroup/EmployerRoleTypeCode

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of employerRoleTypeCode
properties	isRef  0 content  simple
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  I  enumeration  S  enumeration  L  enumeration  U
source	<xs:element name="EmployerRoleTypeCode">   <xs:simpleType>     <xs:restriction base="FF:employerRoleTypeCode"/>   </xs:simpleType> </xs:element>

group InjuryInformationGroup

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	InjuryType DateOfInjuryStart DateOfInjuryEnd BodyPartInformation
used by	complexType  InjuryInformation
source	<xs:group name="InjuryInformationGroup">   <xs:sequence>     <xs:group ref="InjuryTypeAndDates"/>     <xs:element name="BodyPartInformation">       <xs:complexType>         <xs:sequence>           <xs:element name="BodyPart" maxOccurs="5">             <xs:simpleType>               <xs:restriction base="FF:bodyPart"/>             </xs:simpleType>           </xs:element>         </xs:sequence>       </xs:complexType>     </xs:element>   </xs:sequence> </xs:group>

element InjuryInformationGroup/BodyPartInformation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
properties	isRef  0 content  complex
children	BodyPart
source	<xs:element name="BodyPartInformation">   <xs:complexType>     <xs:sequence>       <xs:element name="BodyPart" maxOccurs="5">         <xs:simpleType>           <xs:restriction base="FF:bodyPart"/>         </xs:simpleType>       </xs:element>     </xs:sequence>   </xs:complexType> </xs:element>

element InjuryInformationGroup/BodyPartInformation/BodyPart

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of bodyPart
properties	isRef  0 minOcc  1 maxOcc  5 content  simple
facets	Kind  Value  annotation  length  3  whiteSpace  collapse  enumeration  100  enumeration  110  enumeration  120  enumeration  121  enumeration  124  enumeration  130  enumeration  140  enumeration  141  enumeration  144  enumeration  145  enumeration  146  enumeration  148  enumeration  149  enumeration  150  enumeration  160  enumeration  198  enumeration  200  enumeration  300  enumeration  310  enumeration  311  enumeration  313  enumeration  315  enumeration  318  enumeration  319  enumeration  320  enumeration  330  enumeration  340  enumeration  398  enumeration  400  enumeration  410  enumeration  411  enumeration  420  enumeration  430  enumeration  440  enumeration  450  enumeration  498  enumeration  500  enumeration  510  enumeration  511  enumeration  513  enumeration  515  enumeration  518  enumeration  519  enumeration  520  enumeration  530  enumeration  540  enumeration  598  enumeration  700  enumeration  800  enumeration  801  enumeration  802  enumeration  810  enumeration  820  enumeration  830  enumeration  840  enumeration  841  enumeration  842  enumeration  850  enumeration  860  enumeration  870  enumeration  880  enumeration  999
source	<xs:element name="BodyPart" maxOccurs="5">   <xs:simpleType>     <xs:restriction base="FF:bodyPart"/>   </xs:simpleType> </xs:element>

group InjuryTypeAndDates

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	InjuryType DateOfInjuryStart DateOfInjuryEnd
used by	group  InjuryInformationGroup
source	<xs:group name="InjuryTypeAndDates">   <xs:sequence>     <xs:element name="InjuryType" type="FF:injuryTypeCode"/>     <xs:element name="DateOfInjuryStart" type="CF:ptsDate"/>     <xs:element name="DateOfInjuryEnd" type="CF:ptsDate" nillable="true" minOccurs="0"/>   </xs:sequence> </xs:group>

element InjuryTypeAndDates/InjuryType

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	injuryTypeCode
properties	isRef  0 content  simple
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  I  enumeration  C
source	<xs:element name="InjuryType" type="FF:injuryTypeCode"/>

element InjuryTypeAndDates/DateOfInjuryStart

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	ptsDate
properties	isRef  0 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateOfInjuryStart" type="CF:ptsDate"/>

element InjuryTypeAndDates/DateOfInjuryEnd

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	ptsDate
properties	isRef  0 minOcc  0 maxOcc  1 content  simple nillable  true
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateOfInjuryEnd" type="CF:ptsDate" nillable="true" minOccurs="0"/>

group PersonNameGroup

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	FirstName MiddleInitial LastName
used by	complexType  PersonName
source	<xs:group name="PersonNameGroup">   <xs:sequence>     <xs:element name="FirstName" type="FF:firstName"/>     <xs:element name="MiddleInitial" type="FF:middleInitial" minOccurs="0"/>     <xs:element name="LastName" type="FF:lastName"/>   </xs:sequence> </xs:group>

element PersonNameGroup/FirstName

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	firstName
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  25  whiteSpace  preserve  pattern  ([A-Z ])*
source	<xs:element name="FirstName" type="FF:firstName"/>

element PersonNameGroup/MiddleInitial

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	middleInitial
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  1  whiteSpace  collapse  pattern  [A-Z]
source	<xs:element name="MiddleInitial" type="FF:middleInitial" minOccurs="0"/>

element PersonNameGroup/LastName

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	lastName
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  25  whiteSpace  preserve  pattern  ([A-Z ])*
source	<xs:element name="LastName" type="FF:lastName"/>

group RoleTypeGroup

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	RoleTypeCode
source	<xs:group name="RoleTypeGroup">   <xs:sequence>     <xs:element name="RoleTypeCode" type="FF:filerRoleTypeCode"/>   </xs:sequence> </xs:group>

element RoleTypeGroup/RoleTypeCode

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	filerRoleTypeCode
properties	isRef  0 content  simple
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  E  enumeration  A  enumeration  D  enumeration  L
source	<xs:element name="RoleTypeCode" type="FF:filerRoleTypeCode"/>

group SignatureAddressGroup

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	DateOfSignature Firm DeclarantSignature
used by	complexType  Signatures
source	<xs:group name="SignatureAddressGroup">   <xs:sequence>     <xs:element name="DateOfSignature" type="CF:ptsDate"/>     <xs:element name="Firm" type="OrganizationInformation"/>     <xs:element name="DeclarantSignature">       <xs:simpleType>         <xs:restriction base="FF:signature">           <xs:minLength value="1"/>         </xs:restriction>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:group>

element SignatureAddressGroup/DateOfSignature

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	ptsDate
properties	isRef  0 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateOfSignature" type="CF:ptsDate"/>

element SignatureAddressGroup/Firm

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	OrganizationInformation
properties	isRef  0 content  complex
children	EmployerName Address
source	<xs:element name="Firm" type="OrganizationInformation"/>

element SignatureAddressGroup/DeclarantSignature

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of signature
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  82  whiteSpace  preserve
source	<xs:element name="DeclarantSignature">   <xs:simpleType>     <xs:restriction base="FF:signature">       <xs:minLength value="1"/>     </xs:restriction>   </xs:simpleType> </xs:element>

group VenueInformationGroup

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	VenueLocationCode VenueOfficeCode
used by	complexType  VenueInformation
source	<xs:group name="VenueInformationGroup">   <xs:sequence>     <xs:element name="VenueLocationCode" type="FF:venueLocationTypeCode"/>     <xs:element name="VenueOfficeCode" type="FF:venueOfficeCode"/>   </xs:sequence> </xs:group>

element VenueInformationGroup/VenueLocationCode

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	venueLocationTypeCode
properties	isRef  0 content  simple
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  R  enumeration  I  enumeration  B
source	<xs:element name="VenueLocationCode" type="FF:venueLocationTypeCode"/>

element VenueInformationGroup/VenueOfficeCode

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	venueOfficeCode
properties	isRef  0 content  simple
facets	Kind  Value  annotation  length  3  whiteSpace  collapse  enumeration  STK  enumeration  SFO  enumeration  SAC  enumeration  GOL  enumeration  LBO  enumeration  VNO  enumeration  SAL  enumeration  OAK  enumeration  SDO  enumeration  MDR  enumeration  OXN  enumeration  EUR  enumeration  SRO  enumeration  SBR  enumeration  AHM  enumeration  RIV  enumeration  FRE  enumeration  LAO  enumeration  POM  enumeration  SJO  enumeration  ANA  enumeration  BAK  enumeration  GRO  enumeration  RDG  enumeration  SLO
source	<xs:element name="VenueOfficeCode" type="FF:venueOfficeCode"/>

complexType Address

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	AddressLine1 City State Zip5Code
used by	elements  EmployerInfo/EmployerSection/Address AttorneyorRep/Address AttorneyorRepWithoutNumber/Address OrganizationInformation/Address PersonInformation/Address
source	<xs:complexType name="Address">   <xs:group ref="AddressGroup"/> </xs:complexType>

complexType AttorneyorRep

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	AttorneyorAuthRepTypeCode EmployerName LawFirmNumber Name Address
used by	elements  Stips/DefendantsAttorneyAOrAuthorizedRepSection Stips/InjuredWorkerAttorneyOrAuthorizedRepSection
source	<xs:complexType name="AttorneyorRep">   <xs:sequence>     <xs:element name="AttorneyorAuthRepTypeCode" type="FF:attorneyorAuthRepTypeCode"/>     <xs:element name="EmployerName" type="FF:employerName"/>     <xs:element name="LawFirmNumber" type="FF:lawFirmNumber" minOccurs="0"/>     <xs:element name="Name" type="PersonName" minOccurs="0"/>     <xs:element name="Address" type="Address"/>   </xs:sequence> </xs:complexType>

element AttorneyorRep/AttorneyorAuthRepTypeCode

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	attorneyorAuthRepTypeCode
properties	isRef  0 content  simple
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  A  enumeration  R
source	<xs:element name="AttorneyorAuthRepTypeCode" type="FF:attorneyorAuthRepTypeCode"/>

element AttorneyorRep/EmployerName

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	employerName
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  2  maxLength  56  pattern  ([A-Z0-9 ])*
source	<xs:element name="EmployerName" type="FF:employerName"/>

element AttorneyorRep/LawFirmNumber

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	lawFirmNumber
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  10  whiteSpace  collapse
source	<xs:element name="LawFirmNumber" type="FF:lawFirmNumber" minOccurs="0"/>

element AttorneyorRep/Name

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	PersonName
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	FirstName MiddleInitial LastName
source	<xs:element name="Name" type="PersonName" minOccurs="0"/>

element AttorneyorRep/Address

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	Address
properties	isRef  0 content  complex
children	AddressLine1 City State Zip5Code
source	<xs:element name="Address" type="Address"/>

complexType AttorneyorRepWithoutNumber

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	AttorneyorAuthRepTypeCode EmployerName Name Address PhoneNumber
source	<xs:complexType name="AttorneyorRepWithoutNumber">   <xs:sequence>     <xs:element name="AttorneyorAuthRepTypeCode" type="FF:attorneyorAuthRepTypeCode"/>     <xs:element name="EmployerName" type="FF:employerName"/>     <xs:element name="Name" type="PersonName" minOccurs="0"/>     <xs:element name="Address" type="Address"/>     <xs:element name="PhoneNumber" type="FF:phoneNumber" minOccurs="0"/>   </xs:sequence> </xs:complexType>

element AttorneyorRepWithoutNumber/AttorneyorAuthRepTypeCode

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	attorneyorAuthRepTypeCode
properties	isRef  0 content  simple
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  A  enumeration  R
source	<xs:element name="AttorneyorAuthRepTypeCode" type="FF:attorneyorAuthRepTypeCode"/>

element AttorneyorRepWithoutNumber/EmployerName

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	employerName
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  2  maxLength  56  pattern  ([A-Z0-9 ])*
source	<xs:element name="EmployerName" type="FF:employerName"/>

element AttorneyorRepWithoutNumber/Name

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	PersonName
properties	isRef  0 minOcc  0 maxOcc  1 content  complex
children	FirstName MiddleInitial LastName
source	<xs:element name="Name" type="PersonName" minOccurs="0"/>

element AttorneyorRepWithoutNumber/Address

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	Address
properties	isRef  0 content  complex
children	AddressLine1 City State Zip5Code
source	<xs:element name="Address" type="Address"/>

element AttorneyorRepWithoutNumber/PhoneNumber

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	phoneNumber
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  10  pattern  \d\d\d\d\d\d\d\d\d\d
source	<xs:element name="PhoneNumber" type="FF:phoneNumber" minOccurs="0"/>

complexType CheckBox

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	Checkbox
source	<xs:complexType name="CheckBox">   <xs:sequence>     <xs:element name="Checkbox" type="CF:checkBox" default="false"/>   </xs:sequence> </xs:complexType>

element CheckBox/Checkbox

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	checkBox
properties	isRef  0 content  simple default  false
facets	Kind  Value  annotation  whiteSpace  collapse
source	<xs:element name="Checkbox" type="CF:checkBox" default="false"/>

complexType DateRangeMandatory

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	DateFrom DateTo
source	<xs:complexType name="DateRangeMandatory">   <xs:sequence>     <xs:element name="DateFrom" type="CF:ptsDate"/>     <xs:element name="DateTo" type="CF:ptsDate"/>   </xs:sequence> </xs:complexType>

element DateRangeMandatory/DateFrom

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	ptsDate
properties	isRef  0 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateFrom" type="CF:ptsDate"/>

element DateRangeMandatory/DateTo

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	ptsDate
properties	isRef  0 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateTo" type="CF:ptsDate"/>

complexType DoctorInformation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	Doctor DateOfDoctorReport
source	<xs:complexType name="DoctorInformation">   <xs:sequence>     <xs:element name="Doctor">       <xs:simpleType>         <xs:restriction base="xs:string">           <xs:maxLength value="56"/>           <xs:minLength value="1"/>         </xs:restriction>       </xs:simpleType>     </xs:element>     <xs:element name="DateOfDoctorReport" type="CF:ptsDate"/>   </xs:sequence> </xs:complexType>

element DoctorInformation/Doctor

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of xs:string
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  56
source	<xs:element name="Doctor">   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="56"/>       <xs:minLength value="1"/>     </xs:restriction>   </xs:simpleType> </xs:element>

element DoctorInformation/DateOfDoctorReport

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	ptsDate
properties	isRef  0 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateOfDoctorReport" type="CF:ptsDate"/>

complexType EmployerName

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	EmployerName
used by	complexType  OrganizationInformation
source	<xs:complexType name="EmployerName">   <xs:sequence>     <xs:element name="EmployerName">       <xs:simpleType>         <xs:restriction base="FF:sftField">           <xs:maxLength value="40"/>         </xs:restriction>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:complexType>

element EmployerName/EmployerName

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of sftField
properties	isRef  0 content  simple
facets	Kind  Value  annotation  maxLength  40  pattern  ([A-Z0-9 ])*
source	<xs:element name="EmployerName">   <xs:simpleType>     <xs:restriction base="FF:sftField">       <xs:maxLength value="40"/>     </xs:restriction>   </xs:simpleType> </xs:element>

complexType InjuryInformation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	InjuryType DateOfInjuryStart DateOfInjuryEnd BodyPartInformation
used by	element  ApplicationSection/InjuryInformation
source	<xs:complexType name="InjuryInformation">   <xs:group ref="InjuryInformationGroup"/> </xs:complexType>

complexType OrganizationInformation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	extension of EmployerName
properties	base  EmployerName
children	EmployerName Address
used by	elements  EmployerInfo/ClaimsAdministrator Signature/Firm SignatureAddressGroup/Firm EmployerInfo/InsuranceCarrier
source	<xs:complexType name="OrganizationInformation">   <xs:complexContent>     <xs:extension base="EmployerName">       <xs:sequence>         <xs:element name="Address" type="Address"/>       </xs:sequence>     </xs:extension>   </xs:complexContent> </xs:complexType>

element OrganizationInformation/Address

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	Address
properties	isRef  0 content  complex
children	AddressLine1 City State Zip5Code
source	<xs:element name="Address" type="Address"/>

complexType PersonInformation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	Name Address
used by	element  Stips/InjuredWorkerSection
source	<xs:complexType name="PersonInformation">   <xs:sequence>     <xs:element name="Name" type="PersonName"/>     <xs:element name="Address" type="Address"/>   </xs:sequence> </xs:complexType>

element PersonInformation/Name

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	PersonName
properties	isRef  0 content  complex
children	FirstName MiddleInitial LastName
source	<xs:element name="Name" type="PersonName"/>

element PersonInformation/Address

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	Address
properties	isRef  0 content  complex
children	AddressLine1 City State Zip5Code
source	<xs:element name="Address" type="Address"/>

complexType PersonName

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	FirstName MiddleInitial LastName
used by	elements  AttorneyorRep/Name AttorneyorRepWithoutNumber/Name PersonInformation/Name
source	<xs:complexType name="PersonName">   <xs:group ref="PersonNameGroup"/> </xs:complexType>

complexType SelectionType126

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	SelectionCheckbox Explanation
source	<xs:complexType name="SelectionType126">   <xs:sequence>     <xs:element name="SelectionCheckbox" type="CF:checkBox" minOccurs="0"/>     <xs:element name="Explanation" minOccurs="0">       <xs:simpleType>         <xs:restriction base="xs:string">           <xs:maxLength value="126"/>         </xs:restriction>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:complexType>

element SelectionType126/SelectionCheckbox

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	checkBox
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  whiteSpace  collapse
source	<xs:element name="SelectionCheckbox" type="CF:checkBox" minOccurs="0"/>

element SelectionType126/Explanation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  126
source	<xs:element name="Explanation" minOccurs="0">   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="126"/>     </xs:restriction>   </xs:simpleType> </xs:element>

complexType SelectionType129

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	SelectionCheckbox Explanation
source	<xs:complexType name="SelectionType129">   <xs:sequence>     <xs:element name="SelectionCheckbox" type="CF:checkBox" minOccurs="0"/>     <xs:element name="Explanation" minOccurs="0">       <xs:simpleType>         <xs:restriction base="xs:string">           <xs:maxLength value="129"/>         </xs:restriction>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:complexType>

element SelectionType129/SelectionCheckbox

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	checkBox
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  whiteSpace  collapse
source	<xs:element name="SelectionCheckbox" type="CF:checkBox" minOccurs="0"/>

element SelectionType129/Explanation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  129
source	<xs:element name="Explanation" minOccurs="0">   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="129"/>     </xs:restriction>   </xs:simpleType> </xs:element>

complexType SelectionType84

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	SelectionCheckbox Explanation
source	<xs:complexType name="SelectionType84">   <xs:sequence>     <xs:element name="SelectionCheckbox" type="CF:checkBox" minOccurs="0"/>     <xs:element name="Explanation" minOccurs="0">       <xs:simpleType>         <xs:restriction base="xs:string">           <xs:maxLength value="84"/>         </xs:restriction>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:complexType>

element SelectionType84/SelectionCheckbox

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	checkBox
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  whiteSpace  collapse
source	<xs:element name="SelectionCheckbox" type="CF:checkBox" minOccurs="0"/>

element SelectionType84/Explanation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  84
source	<xs:element name="Explanation" minOccurs="0">   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="84"/>     </xs:restriction>   </xs:simpleType> </xs:element>

complexType SelectionType85

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	SelectionCheckbox Explanation
source	<xs:complexType name="SelectionType85">   <xs:sequence>     <xs:element name="SelectionCheckbox" type="CF:checkBox" minOccurs="0"/>     <xs:element name="Explanation" minOccurs="0">       <xs:simpleType>         <xs:restriction base="xs:string">           <xs:maxLength value="85"/>         </xs:restriction>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:complexType>

element SelectionType85/SelectionCheckbox

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	checkBox
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  whiteSpace  collapse
source	<xs:element name="SelectionCheckbox" type="CF:checkBox" minOccurs="0"/>

element SelectionType85/Explanation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of xs:string
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  maxLength  85
source	<xs:element name="Explanation" minOccurs="0">   <xs:simpleType>     <xs:restriction base="xs:string">       <xs:maxLength value="85"/>     </xs:restriction>   </xs:simpleType> </xs:element>

complexType Signature

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	DateOfSignature Firm DeclarantSignature
source	<xs:complexType name="Signature">   <xs:sequence>     <xs:element name="DateOfSignature" type="CF:ptsDate"/>     <xs:element name="Firm" type="OrganizationInformation"/>     <xs:element name="DeclarantSignature">       <xs:simpleType>         <xs:restriction base="FF:signature">           <xs:minLength value="1"/>         </xs:restriction>       </xs:simpleType>     </xs:element>   </xs:sequence> </xs:complexType>

element Signature/DateOfSignature

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	ptsDate
properties	isRef  0 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateOfSignature" type="CF:ptsDate"/>

element Signature/Firm

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	OrganizationInformation
properties	isRef  0 content  complex
children	EmployerName Address
source	<xs:element name="Firm" type="OrganizationInformation"/>

element Signature/DeclarantSignature

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	restriction of signature
properties	isRef  0 content  simple
facets	Kind  Value  annotation  minLength  1  maxLength  82  whiteSpace  preserve
source	<xs:element name="DeclarantSignature">   <xs:simpleType>     <xs:restriction base="FF:signature">       <xs:minLength value="1"/>     </xs:restriction>   </xs:simpleType> </xs:element>

complexType Signatures

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	DateOfSignature Firm DeclarantSignature
source	<xs:complexType name="Signatures">   <xs:group ref="SignatureAddressGroup"/> </xs:complexType>

complexType StartAndEndDate

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	DateStarts DateEnds
used by	elements  BenefitsSection/BenefitsInformation/AdditionalTemporaryDisability/DateAdditionalTemporaryDisability BenefitsSection/BenefitsInformation/TemporaryDisability/DatesTemporaryDisability
source	<xs:complexType name="StartAndEndDate">   <xs:sequence>     <xs:element name="DateStarts" type="CF:ptsDate" minOccurs="0"/>     <xs:element name="DateEnds" type="CF:ptsDate" minOccurs="0"/>   </xs:sequence> </xs:complexType>

element StartAndEndDate/DateStarts

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	ptsDate
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateStarts" type="CF:ptsDate" minOccurs="0"/>

element StartAndEndDate/DateEnds

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
type	ptsDate
properties	isRef  0 minOcc  0 maxOcc  1 content  simple
facets	Kind  Value  annotation  pattern  [0-1][0-9]/[0-3][0-9]/[1-2][0-9][0-9][0-9]
source	<xs:element name="DateEnds" type="CF:ptsDate" minOccurs="0"/>

complexType VenueInformation

diagram
namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains
children	VenueLocationCode VenueOfficeCode
used by	element  ApplicationSection/Venue
source	<xs:complexType name="VenueInformation">   <xs:group ref="VenueInformationGroup"/> </xs:complexType>

simpleType addressLine

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of xs:string
properties	base  xs:string
used by	element  AddressGroup/AddressLine1
facets	Kind  Value  annotation  minLength  1  maxLength  40  whiteSpace  preserve  pattern  ([A-Z0-9 ])*
source	<xs:simpleType name="addressLine">   <xs:restriction base="xs:string">     <xs:maxLength value="40"/>     <xs:minLength value="1"/>     <xs:whiteSpace value="preserve"/>     <xs:pattern value="([A-Z0-9 ])*"/>   </xs:restriction> </xs:simpleType>

simpleType amount

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of xs:double
properties	base  xs:double
used by	elements  BenefitsSection/BenefitsInformation/AdditionalTemporaryDisability/AdditionalTemporaryDisabilityIndemnityPaid BenefitsSection/BenefitsInformation/AdditionalTemporaryDisability/AdditionaltemporaryDisabilityRate BenefitsSection/BenefitsInformation/LaborCodeAdjustment/AdjustmentRate EarningAmountGroup/EarningsAmount ApplicantAttorneyRequiresAFeeOf/Fee BenefitsSection/BenefitsInformation/PermanentDisability/LifePensionAmount BenefitsSection/BenefitsInformation/PermanentDisability/PermanentDisabilityIndemnityPaid BenefitsSection/BenefitsInformation/PermanentDisability/PermanentDisabilityIndemnityRate BenefitsSection/BenefitsInformation/TemporaryDisability/TemporaryDisabilityIndemnityPaid
facets	Kind  Value  annotation  minInclusive  0.00  maxInclusive  9999999999999.99
source	<xs:simpleType name="amount">   <xs:restriction base="xs:double">     <xs:maxInclusive value="9999999999999.99"/>     <xs:minInclusive value="0.00"/>   </xs:restriction> </xs:simpleType>

simpleType attorneyorAuthRepTypeCode

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of typeCode1
properties	base  CF:typeCode1
used by	elements  AttorneyorRep/AttorneyorAuthRepTypeCode AttorneyorRepWithoutNumber/AttorneyorAuthRepTypeCode
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  A  enumeration  R
annotation	documentation Attorney or Authorized Representative Valid Values 'A' - Attorney 'R' - AuthorizedRepresentative
source	<xs:simpleType name="attorneyorAuthRepTypeCode">   <xs:annotation>     <xs:documentation> Attorney or Authorized Representative Valid Values 'A' - Attorney 'R' - AuthorizedRepresentative </xs:documentation>   </xs:annotation>   <xs:restriction base="CF:typeCode1">     <xs:enumeration value="A"/>     <xs:enumeration value="R"/>   </xs:restriction> </xs:simpleType>

simpleType bodyPart

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of typeCode3
properties	base  CF:typeCode3
used by	element  InjuryInformationGroup/BodyPartInformation/BodyPart
facets	Kind  Value  annotation  length  3  whiteSpace  collapse  enumeration  100  enumeration  110  enumeration  120  enumeration  121  enumeration  124  enumeration  130  enumeration  140  enumeration  141  enumeration  144  enumeration  145  enumeration  146  enumeration  148  enumeration  149  enumeration  150  enumeration  160  enumeration  198  enumeration  200  enumeration  300  enumeration  310  enumeration  311  enumeration  313  enumeration  315  enumeration  318  enumeration  319  enumeration  320  enumeration  330  enumeration  340  enumeration  398  enumeration  400  enumeration  410  enumeration  411  enumeration  420  enumeration  430  enumeration  440  enumeration  450  enumeration  498  enumeration  500  enumeration  510  enumeration  511  enumeration  513  enumeration  515  enumeration  518  enumeration  519  enumeration  520  enumeration  530  enumeration  540  enumeration  598  enumeration  700  enumeration  800  enumeration  801  enumeration  802  enumeration  810  enumeration  820  enumeration  830  enumeration  840  enumeration  841  enumeration  842  enumeration  850  enumeration  860  enumeration  870  enumeration  880  enumeration  999
annotation	documentation Body Parts Valid Values '100' - 100 HEAD - not specified '110' - 110 BRAIN '120' - 120 EAR - not specified '121' - 121 EAR - external '124' - 124 EAR - internal (including hearing) '130' - 130 EYE - (including optic nerves and vision) '140' - 140 FACE - not specified '141' - 141 JAW - (including chin and mandible) '144' - 144 MOUTH - (including lips, tongue, throat and taste) '145' - 145 TEETH '146' - 146 NOSE - (including nasal passages, sinus and smell) '148' - 148 FACE - multiple parts (any combination of above parts) '149' - 149 FACE - forehead, cheeks, eyelids '150' - 150 SCALP '160' - 160 SKULL '198' - 198 HEAD - multiple injury (any combination of above parts) '200' - 200 NECK '300' - 300 UPPER EXTREMITIES - not specified '310' - 310 ARM - above wrist (not specified) '311' - 311 ARM - upper arm (humerus) '313' - 313 ARM - elbow (head of radius) '315' - 315 ARM - forearm (radius and ulna) '318' - 318 ARM - multiple parts (any combination of above parts) '319' - 319 ARM - not specified '320' - 320 WRIST '330' - 330 HAND - (not wrist or fingers) '340' - 340 FINGER(s) '398' - 398 UPPER EXTREMITIES - multiple parts (any combination of above parts) '400' - 400 TRUNK - not specified' '410' - 410 ABDOMEN - including internal organs and groin '411' - 411 HERNIA '420' - 420 BACK - including back muscles, spine and spinal cord '430' - 430 CHEST - including ribs, breast bone and internal organs of the chest '440' - 440 HIP(s) - including pelvis, pelvic organs, tailbone, coccyx and buttocks '450' - 450 SHOULDER(s) - (scapula and clavicle) '498' - 498 TRUNK - use for side; multiple parts (any combination of above parts) '500' - 500 LOWER EXTREMITIES - not specified '510' - 510 LEGS - above ankles, not specified '511' - 511 THIGH (femur) '513' - 513 KNEE (Patella) '515' - 515 LOWER LEG (tibia and fibula) '518' - 518 LEG - multiple parts (any combination of above parts) '519' - 519 LEG - not specified '520' - 520 ANKLE (malleolus) '530' - 530 FOOT (not ankle or toe) '540' - 540 TOE(s) '598' - 598 LOWER EXTREMITIES - multiple parts (any combination of above parts) '700' - 700 MULITPLE PARTS (more than five major parts) (use only in fifth position of listing of body parts) '800' - 800 BODY SYSTEM - not specific '801' - 801 CIRCULATORY SYSTEM - (heart - other than heart attack, blood, arteries, veins, etc.) '802' - 802 CIRCULATORY SYTEM - Heart attack '810' - 810 DIGESTIVE SYSTEM - (stomach) '820' - 820 EXCRETORY SYSTEM - (kidneys, bladder, intestines, etc.) '830' - 830 MUSCULO-SKELETAL SYSTEM - (bones, joints, tendons, muscles, etc.) '840' - 840 NERVOUS SYSTEM - not specified '841' - 841 NERVOUS SYSTEM - Stress '842' - 842 NERVOUS SYSTEM - Psychiatric/psych '850' - 850 RESPIRATORY SYSTEM - (lungs, trachea, etc.) '860' - 860 SKIN (dermititis, etc.) '870' - 870 REPRODUCTIVE SYSTEMS '880' - 880 OTHER BODY SYSTEMS '999' - 999 UNCLASSIFIED - insufficient information to identify body parts
source	<xs:simpleType name="bodyPart">   <xs:annotation>     <xs:documentation> Body Parts Valid Values '100' - 100 HEAD - not specified '110' - 110 BRAIN '120' - 120 EAR - not specified '121' - 121 EAR - external '124' - 124 EAR - internal (including hearing) '130' - 130 EYE - (including optic nerves and vision) '140' - 140 FACE - not specified '141' - 141 JAW - (including chin and mandible) '144' - 144 MOUTH - (including lips, tongue, throat and taste) '145' - 145 TEETH '146' - 146 NOSE - (including nasal passages, sinus and smell) '148' - 148 FACE - multiple parts (any combination of above parts) '149' - 149 FACE - forehead, cheeks, eyelids '150' - 150 SCALP '160' - 160 SKULL '198' - 198 HEAD - multiple injury (any combination of above parts) '200' - 200 NECK '300' - 300 UPPER EXTREMITIES - not specified '310' - 310 ARM - above wrist (not specified) '311' - 311 ARM - upper arm (humerus) '313' - 313 ARM - elbow (head of radius) '315' - 315 ARM - forearm (radius and ulna) '318' - 318 ARM - multiple parts (any combination of above parts) '319' - 319 ARM - not specified '320' - 320 WRIST '330' - 330 HAND - (not wrist or fingers) '340' - 340 FINGER(s) '398' - 398 UPPER EXTREMITIES - multiple parts (any combination of above parts) '400' - 400 TRUNK - not specified' '410' - 410 ABDOMEN - including internal organs and groin '411' - 411 HERNIA '420' - 420 BACK - including back muscles, spine and spinal cord '430' - 430 CHEST - including ribs, breast bone and internal organs of the chest '440' - 440 HIP(s) - including pelvis, pelvic organs, tailbone, coccyx and buttocks '450' - 450 SHOULDER(s) - (scapula and clavicle) '498' - 498 TRUNK - use for side; multiple parts (any combination of above parts) '500' - 500 LOWER EXTREMITIES - not specified '510' - 510 LEGS - above ankles, not specified '511' - 511 THIGH (femur) '513' - 513 KNEE (Patella) '515' - 515 LOWER LEG (tibia and fibula) '518' - 518 LEG - multiple parts (any combination of above parts) '519' - 519 LEG - not specified '520' - 520 ANKLE (malleolus) '530' - 530 FOOT (not ankle or toe) '540' - 540 TOE(s) '598' - 598 LOWER EXTREMITIES - multiple parts (any combination of above parts) '700' - 700 MULITPLE PARTS (more than five major parts) (use only in fifth position of listing of body parts) '800' - 800 BODY SYSTEM - not specific '801' - 801 CIRCULATORY SYSTEM - (heart - other than heart attack, blood, arteries, veins, etc.) '802' - 802 CIRCULATORY SYTEM - Heart attack '810' - 810 DIGESTIVE SYSTEM - (stomach) '820' - 820 EXCRETORY SYSTEM - (kidneys, bladder, intestines, etc.) '830' - 830 MUSCULO-SKELETAL SYSTEM - (bones, joints, tendons, muscles, etc.) '840' - 840 NERVOUS SYSTEM - not specified '841' - 841 NERVOUS SYSTEM - Stress '842' - 842 NERVOUS SYSTEM - Psychiatric/psych '850' - 850 RESPIRATORY SYSTEM - (lungs, trachea, etc.) '860' - 860 SKIN (dermititis, etc.) '870' - 870 REPRODUCTIVE SYSTEMS '880' - 880 OTHER BODY SYSTEMS '999' - 999 UNCLASSIFIED - insufficient information to identify body parts </xs:documentation>   </xs:annotation>   <xs:restriction base="CF:typeCode3">     <xs:enumeration value="100"/>     <xs:enumeration value="110"/>     <xs:enumeration value="120"/>     <xs:enumeration value="121"/>     <xs:enumeration value="124"/>     <xs:enumeration value="130"/>     <xs:enumeration value="140"/>     <xs:enumeration value="141"/>     <xs:enumeration value="144"/>     <xs:enumeration value="145"/>     <xs:enumeration value="146"/>     <xs:enumeration value="148"/>     <xs:enumeration value="149"/>     <xs:enumeration value="150"/>     <xs:enumeration value="160"/>     <xs:enumeration value="198"/>     <xs:enumeration value="200"/>     <xs:enumeration value="300"/>     <xs:enumeration value="310"/>     <xs:enumeration value="311"/>     <xs:enumeration value="313"/>     <xs:enumeration value="315"/>     <xs:enumeration value="318"/>     <xs:enumeration value="319"/>     <xs:enumeration value="320"/>     <xs:enumeration value="330"/>     <xs:enumeration value="340"/>     <xs:enumeration value="398"/>     <xs:enumeration value="400"/>     <xs:enumeration value="410"/>     <xs:enumeration value="411"/>     <xs:enumeration value="420"/>     <xs:enumeration value="430"/>     <xs:enumeration value="440"/>     <xs:enumeration value="450"/>     <xs:enumeration value="498"/>     <xs:enumeration value="500"/>     <xs:enumeration value="510"/>     <xs:enumeration value="511"/>     <xs:enumeration value="513"/>     <xs:enumeration value="515"/>     <xs:enumeration value="518"/>     <xs:enumeration value="519"/>     <xs:enumeration value="520"/>     <xs:enumeration value="530"/>     <xs:enumeration value="540"/>     <xs:enumeration value="598"/>     <xs:enumeration value="700"/>     <xs:enumeration value="800"/>     <xs:enumeration value="801"/>     <xs:enumeration value="802"/>     <xs:enumeration value="810"/>     <xs:enumeration value="820"/>     <xs:enumeration value="830"/>     <xs:enumeration value="840"/>     <xs:enumeration value="841"/>     <xs:enumeration value="842"/>     <xs:enumeration value="850"/>     <xs:enumeration value="860"/>     <xs:enumeration value="870"/>     <xs:enumeration value="880"/>     <xs:enumeration value="999"/>   </xs:restriction> </xs:simpleType>

simpleType city

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of xs:string
properties	base  xs:string
used by	elements  ApplicationSection/InjuryInformation/Address/City AddressGroup/City
facets	Kind  Value  annotation  minLength  1  maxLength  25  whiteSpace  preserve  pattern  ([A-Z' ])*
source	<xs:simpleType name="city">   <xs:restriction base="xs:string">     <xs:maxLength value="25"/>     <xs:minLength value="1"/>     <xs:whiteSpace value="preserve"/>     <xs:pattern value="([A-Z' ])*"/>   </xs:restriction> </xs:simpleType>

simpleType claimNumber

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of xs:string
properties	base  xs:string
facets	Kind  Value  annotation  minLength  0  maxLength  20  pattern  ([A-Z0-9 ])*
source	<xs:simpleType name="claimNumber">   <xs:restriction base="xs:string">     <xs:maxLength value="20"/>     <xs:minLength value="0"/>     <xs:pattern value="([A-Z0-9 ])*"/>   </xs:restriction> </xs:simpleType>

simpleType employerName

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of fullName
properties	base  fullName
used by	elements  EmployerInfo/EmployerSection/EmployerName AttorneyorRep/EmployerName AttorneyorRepWithoutNumber/EmployerName
facets	Kind  Value  annotation  minLength  2  maxLength  56  pattern  ([A-Z0-9 ])*
source	<xs:simpleType name="employerName">   <xs:restriction base="fullName">     <xs:pattern value="([A-Z0-9 ])*"/>   </xs:restriction> </xs:simpleType>

simpleType employerRoleTypeCode

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of typeCode1
properties	base  CF:typeCode1
used by	elements  EmployerInfo/EmployerSection/EmployerRoleTypeCode EmployerRoleTypeGroup/EmployerRoleTypeCode
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  I  enumeration  S  enumeration  L  enumeration  U
annotation	documentation Employer Role Type Valid Values 'I' - Insured 'S' - Self Insured 'L' - Legally Uninsured 'U' - Uninsured
source	<xs:simpleType name="employerRoleTypeCode">   <xs:annotation>     <xs:documentation> Employer Role Type Valid Values 'I' - Insured 'S' - Self Insured 'L' - Legally Uninsured 'U' - Uninsured </xs:documentation>   </xs:annotation>   <xs:restriction base="CF:typeCode1">     <xs:enumeration value="I"/>     <xs:enumeration value="S"/>     <xs:enumeration value="L"/>     <xs:enumeration value="U"/>   </xs:restriction> </xs:simpleType>

simpleType fileOnBehalfTypeCode

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of typeCode1
properties	base  CF:typeCode1
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  E  enumeration  I  enumeration  B
annotation	documentation File On Behalf Type Valid Values 'E' - Employer 'I' - Insurance Carrier 'B' - Both
source	<xs:simpleType name="fileOnBehalfTypeCode">   <xs:annotation>     <xs:documentation> File On Behalf Type Valid Values 'E' - Employer 'I' - Insurance Carrier 'B' - Both </xs:documentation>   </xs:annotation>   <xs:restriction base="CF:typeCode1">     <xs:enumeration value="E"/>     <xs:enumeration value="I"/>     <xs:enumeration value="B"/>   </xs:restriction> </xs:simpleType>

simpleType filerRoleTypeCode

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of typeCode1
properties	base  CF:typeCode1
used by	element  RoleTypeGroup/RoleTypeCode
facets	Kind  Value  annotation  length  1  whiteSpace  collapse  enumeration  E  enumeration  A  enumeration  D  enumeration  L
annotation	documentation Filer Role Type Valid Values 'E' - Employee 'A' - Applicant 'D' - Defendant 'L' - LienClaimnt
source	<xs:simpleType name="filerRoleTypeCode">   <xs:annotation>     <xs:documentation> Filer Role Type Valid Values 'E' - Employee 'A' - Applicant 'D' - Defendant 'L' - LienClaimnt </xs:documentation>   </xs:annotation>   <xs:restriction base="CF:typeCode1">     <xs:enumeration value="E"/>     <xs:enumeration value="A"/>     <xs:enumeration value="D"/>     <xs:enumeration value="L"/>   </xs:restriction> </xs:simpleType>

simpleType firstName

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of xs:string
properties	base  xs:string
used by	element  PersonNameGroup/FirstName
facets	Kind  Value  annotation  minLength  1  maxLength  25  whiteSpace  preserve  pattern  ([A-Z ])*
source	<xs:simpleType name="firstName">   <xs:restriction base="xs:string">     <xs:maxLength value="25"/>     <xs:whiteSpace value="preserve"/>     <xs:minLength value="1"/>     <xs:pattern value="([A-Z ])*"/>   </xs:restriction> </xs:simpleType>

simpleType fullAddress

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of xs:string
properties	base  xs:string
used by	element  DeclarantSignatureGroup/DeclarantOrLawFirmAddress
facets	Kind  Value  annotation  minLength  1  maxLength  56  whiteSpace  preserve  pattern  ([A-Z0-9 ])*
source	<xs:simpleType name="fullAddress">   <xs:restriction base="xs:string">     <xs:maxLength value="56"/>     <xs:minLength value="1"/>     <xs:whiteSpace value="preserve"/>     <xs:pattern value="([A-Z0-9 ])*"/>   </xs:restriction> </xs:simpleType>

simpleType fullLongName

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of xs:string
properties	base  xs:string
facets	Kind  Value  annotation  minLength  1  maxLength  80  pattern  ([A-Z ])*
source	<xs:simpleType name="fullLongName">   <xs:restriction base="xs:string">     <xs:maxLength value="80"/>     <xs:minLength value="1"/>     <xs:pattern value="([A-Z ])*"/>   </xs:restriction> </xs:simpleType>

simpleType fullName

namespace	http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields
type	restriction of xs:string
properties	base  xs:string
used by	elements