Edit an Existing Location

 FROL Key Value
 Employer Name
 Hidden Record ?
 Record Marked for Delete ?

 Employer State ID for this Location
 Location Name
 Location Code (Optional)
 Location Address
 Location City
 Location County
 Location State
 Location Postal Code  - 
 Location E-mail Address
 Location Phone  )   - 
 SIC Code
 Location FEIN  - 
 Check Box if Self Insured
 Policy Number
 Policy Effective
 Policy Expiration
Notification Email(s) (150 characters max)
seperate multiple addresses with a semicolon
 Customer Code
 Transmit Process
 Transmit Folder

        Identification Code
 Code Description
 Code Value

        Extended Data Fields
 Field # 1 - Account Coordinator
 Field #2 - Portfolio Executive
 Field #3 - Risk Engineer
 Field #4 - Underwriter
 Field #5 - Customer Acct Executive
 Field #6 - Customer Service Mgr
 Field #7 - Agent/Broker
 Field #8 - Business Unit
 Field #9 - Office
 Field #10 - Market Segment
 Date # 1
 Date # 2