eForms Standard & Enterprise Only
Heading
|
Description
|
Type, Size
|
Comments & Examples
|
LASTNAME
|
Recipient last name
|
Text, 30
|
Required
|
FIRSTNAME
|
Recipient first name
|
Text, 30
|
|
INITIAL
|
Recipient initial
|
Text, 1
|
|
ADDRESS1
|
Address line 1
|
Text, 50
|
|
ADDRESS2
|
Address line 2
|
Text, 50
|
|
CITY
|
City
|
Text, 28
|
|
PROV
|
Province code
|
Text, 2
|
|
POSTAL
|
Postal code (including space)
|
Text, 10
|
|
COUNTRY
|
Country, in address
|
Text, 3
|
CAN, USA, etc.
|
TAXYEAR
|
Year
|
Text, 1
|
2024
|
SIN
|
Social insurance number
|
Text, 15
|
|
REFNO
|
Recipient's ID number
|
Text, 10
|
|
VALUEMULTI
|
Value of coverage rec'd under multi-employer insurance plan
|
Currency
|
|
VALUEPRIVT
|
Value of coverage received under private health services plan
|
Currency
|
|
FROMDATE1
|
Protection periods - 1st start date
|
Date
|
Mm, dd, yyyy
|
TODATE1
|
Protection periods - 1st end date
|
Date
|
Mm, dd, yyyy
|
FROMDATE2
|
Protection periods - 2nd start date
|
Date
|
Mm, dd, yyyy
|
TODATE2
|
Protection periods - 2nd end date
|
Date
|
Mm, dd, yyyy
|
FROMDATE3
|
Protection periods - 3rd start date
|
Date
|
Mm, dd, yyyy
|
TODATE3
|
Protection periods - 3rd end date
|
Date
|
Mm, dd, yyyy
|
REPORTCODE
|
Status of slip
|
Text, 1
|
R - Original,
A - Amended or
D - Cancelled
|
SERIAL
|
Relevé No. of paper slip
|
Numeric, 9
|
|
SERIALORIGINAL
|
Relevé No. of previously-filed paper slip (user-entered)
|
Numeric, 9
|
|
SERIALMM
|
Relevé No. of XML slip
|
Numeric, 9
|
|
SERIALMMPREVIOUS
|
Relevé No. of previously-filed XML slip
|
Numeric, 9
|
|
TEXTATTOP
|
Optional text to print at top of slip
|
Text, 15
|
|
EMAILADDRESS
|
Recipient email address
|
Text, 255
|
eForms Enterprise only
One email address, or two separated by a semi-colon
|
OKTOEMAILSLIP
|
Permission granted to email slip
|
Yes/No
|
eForms Enterprise only
|
COMPANY.NAME1
|
Company associated with slip
|
Text, 35
|
eForms Enterprise only
|
COMPANY.COMPANYTAG
|
Tag associated with company name
|
Text, 10
|
eForms Enterprise only
|
SLIPTAG
|
Subset tag
|
Text, 10
|
eForms Enterprise only
|
CUSTOMFIELD
|
GUID or other unique identifier
|
Text, 50
|
eForms Enterprise only
|
CUSTOMPASSWORD
|
Password for recipient PDF slip
|
Text, 20
|
eForms Enterprise only
|
|