English	French	Notes	Complete/Exclude
Weapons Total #              :  			
Firearms                     :  			
Knives/Hatchets/Clubs        :  			
Explosives                   :  			
Other                        :  			
DISTURBANCES       Total # : 			
Demonstrations             :  			
Employee Threat            :  			
Smoking Violation          :  			
Unauthorized Photograph    :  			
MANSLAUGHTER/MURDER       Total # : 			
Manslaughter/Murder/Negligent         :  			
Manslaughter/Murder/Non-Neg.          :  			
NON-CRIMINAL INVESTIGATIONS       Total # : 			
Government Veh. Accident   :  			
Assist Law Officer         :  			
Alarm Response             :  			
Information Only           :  			
OTHER OFFENSES                   Total # : 			
Arson                         :  			
Arson $ Damage                :  			
Possession of Stolen Property :  			
Receive/Sell Stolen Property  :  			
Suicide                       :  			
Suicide Attempt               :  			
RAPES                            Total # : 			
Attempted Rape                :  			
Forcible Rape                 :  			
ROBBERY                          Total # : 			
STOPS & ARRESTS                  Total # : 			
Stops for Questioning         :  			
Package Stops                 :  			
Non-Package Stops             :  			
THEFTS                           Total # : 			
Coin-Operated Machines         :  			
Total $ Loss                   :  			
Total $ Recovery               :  			
Actual Drug Thefts             :  			
Controlled Substance           :  			
Non-Controlled Substance       :  			
Attempted Drug Thefts          :  			
Total Drug Thefts              :  			
Total $ Recovered              :  			
Government Property            :  			
Personal Property              :  			
Motor Vehicles                 :  			
Government Motor Vehicle       :  			
Gov't Vehicles Recovered       :  			
Private Motor Vehicle          :  			
Private Veh's Recovered        :  			
VICE SOLICITING              Total # :  			
Forgery                    : 			
Gambling                   : 			
Sexual Misconduct          : 			
VIOLATION CHARGES                Total # : 			
USDC Notice       Total # : 			
The report will be forwarded to the national database.  You may now enter			
any additional people you would like to forward this report to.			
XXX@Q-VAP.VA.GOV			
...Forwarded to National Database.			
VICE SOLICITING               Total # :  			
Is this a courtesy or USDC violation			
Enter C for COURTESY or V for USDC violation			
The program is now exiting!			
Do you want to add a new violation			
DATE/TIME OF OFFENSE			
Enter the date and time of the offense.  Future dates not allowed.			
Court Date must be after the Date/Time of Offense!			
NO EXISTING VIOLATIONS FOR 			
EXISTING VIOLATIONS FOR 			
OFFENSE CHARGED			
Data Validation in progress			
No Date/Time Received.			
No Date/Time of Offense.			
No Investigating Officer.			
No Classification Code.			
No Type for this Classification Code.			
No Sub-Type for this Type.			
This report must have the above before it can be completed.			
Report Completed.			
Select Vehicle Registration: 			
VIOLATION #: 			
PRINT USDC VIOLATION NOTICE			
OFFENSE CHARGED: 			
OFFENSE DESCRIPTION: 			
OFFENDER: 			
RECORD DOESN'T EXIST.			
DRIVER'S LICENSE #: 			
TAG # & STATE: 			
VEHICLE COLOR: 			
YEAR: 			
COURT DATE: 			
* * * VIOLATION NOTICE * * *			
* * * COURTESY VIOLATION NOTICE * * *			
Enter the Decal # (ex. 9999)			
NO MATCH FOUND.			
Do you want to add this decal #			
DECAL COLOR: 			
VEHICLE MAKE: 			
ASSIGNED PARKING SPACE: 			
CAR POOL MEMBER: 			
READY TO UPDATE			
Another user is editing this record!			
This decal # is already in the Police Registration Log.			
Do you want to edit this registration			
Select OFFICER			
This officer is not a current police officer.			
WORKLOAD REPORT			
ALL OFFICERS			
Checking SOUNDEX for matches.			
No matches found.			
Do you still want to add this entry: NO//			
NnYy^?			
Answer NO to stop the addition of 			
 as a new master name index person.			
Answer YES to add, a '^' will be taken as a NO.			
Print 7079's for: 			
There are no 7079's to be printed!			
Want only those that have not yet been printed			
ID Card Number: 			
(1) Veterans Name			
|(2) ID Number | Period of Validity			
|DATE OF ISSUE			
| CONDITIONS FOR WHICH SERVICES ARE REQUESTED (DESCRIPTION OF DISABILITY)			
Name and Address of Fee Participant			
AUTHORIZATION #: 			
AUTHORIZATION REMARKS			
 (5) STATE CODE | (6) COUNTY CODE | (7) TYPE OF | (8) YEAR OF BIRTH | (9) WAR | (10) PURPOSE |			
STATION OF JURISDICTION			
Veterans Administration			
SHORT TERM - 1			
HOME NURSING - 2			
ID CARD STATUS - 3			
| APPROVED BY (Name and Title)			
TELEPHONE: 			
Information On Veterans Administration Program			
Acceptance of this request to render the prescribed services will constitute an agreement which is subject			
to the following: 			
I. SERVICES. If services are not initiated, please return this document to the Station of Jurisdiction with a brief			
explanation. Unless approved by the VA, services are limited in type and extent to those shown.			
II. PERIOD OF VALIDITY. Service must be performed within the period of validity indicated.			
If a longer time is needed, please request an extension.			
III. REPORTS. Clinical reports are required when an examination only has been requested. Please 			
submit reports promptly to the Station Of Jurisdiction.			
IV. STATEMENT OF ACCOUNTS. Submit a Statement of Account in your usual manner. Your statement must			
include: (1) Patient's Name; (2) Identification NO.; (3) Treatment (CPT) and Dates Rendered; and (4) Fees.			
V. FEES. Fees claimed may not exceed those made to the general public for like services.			
VI. PAYMENT. Payment by the VA for services rendered and approved is payment in full.			
VII. HOSPITALIZATION. When a need for hospital care is indicated, please call the Station of Jurisdiction			
for assistance in admitting the veteran to a VA hospital.			
VIII. INQUIRIES. Additional information when required may be obtained by contacting the Station Of Jurisdiction.			
VA Form 10-7079			
ELIGIBILITY HAS NOT BEEN DETERMINED NOR PENDING, CANNOT ENTER AN AUTHORIZATION.			
VETERAN HAS A DISHONORABLE DISCHARGE, 			
ONLY ELIGIBLE FOR AGENT ORANGE EXAM.			
NOT ELIGIBLE FOR BENEFITS.			
Want to Print 7079 for this patient now			
Is this vendor information correct			
FBAA ESTABLISH VENDOR			
You must contact a vendorizing clerk or supervisor to update this record!			
Vendor flagged for updating!			
Are you sure you want to update this Vendor in the FMS and Central Fee vendor   files			
Will NOT be Updated			
This option should only be used to update the FMS and Central			
Fee vendor files in Austin with the appropriate information.			
(NOTE:  The vendor may not exist in the FMS vendor file,			
        or may exist, but the information in the FMS vendor			
        file does not reflect accurate information.)			
Use of this option should update the FMS system to reflect			
what is currently in the DHCP system.  Information at all			
other VA Medical Centers using this vendor will also be updated.			
Sure you want to DELETE this batch			
Batch Deleted.			
Obligation Number:  			
Do you want to change the Obligation Number			
Select Obligation Number:  			
DUZ and DUZ(0) must be defined as a valid user to run the batch purge.			
You must have programmer access (DUZ(0)='@') before running the batch purge.			
There are no batches finalized !!			
This option is used to purge Fee Basis batch numbers for a time frame in the    past.  Do you want to continue			
 if you wish to proceed with Fee Basis batch number purging!			
Purge batch #'s PRIOR to date : 			
*** BEGIN FEE BASIS BATCH NUMBER PURGE ***			
There are no batch numbers to purge for this time frame !! 			
This option has purged  			
  batch numbers			
finalized prior to  			
***  FEE BASIS BATCH NUMBER PURGE FINISHED ***			
Unknown User			
FBAA BATCH PURGE			
Do you want to print ALL Fee Basis Batch Status':  			
CLERK CLOSED			
SUPERVISOR CLOSED			
FORWARDED TO PRICER			
ASSIGNED PRICE			
REVIEWED AFTER PRICER			
Select STATUS to print			
Do you want to select another STATUS:  			
FBSTAT(			
MEDICAL & STAT PAYMENTS			
HOMETOWN PHARMACY PAYMENTS			
TRAVEL PAYMENTS			
CH/CNH			
STATUS OF BATCHES			
BATCH #			
BATCH TYPE			
DATE OPENED			
No payments in Batch yet!			
No Payments in Batch yet!			
Want to review batch			
If you want a detail list of each payment line, answer 			
 otherwise press Return key			
Do you still want to close Batch			
Batch Closed			
('*' Reimbursement to Patient   '+' Cancellation Activity)			
('#' Voided Payment)			
Batch #			
Voucher Date			
Vendor Name			
Vendor ID			
Invoice #			
Date Rec'd.			
SVC DATE			
CPT-MOD			
SERVICE PROVIDED			
FPPS CLAIM			
FPPS LINE			
ADJ CODE			
ADJ AMOUNT			
RX  DATE			
RX #			
'+' Represents Cancellation Activity			
Travel Amount			
Invoice #: 			
FPPS Claim ID: 			
   FPPS Line: 			
('*' Reimbursement to Veteran   '+' Cancellation Activity)			
Batch Number			
Dt Inv Rec'd			
FR DATE			
TO DATE  CLAIMED   PAID			
Dx: 			
Proc: 			
  Date Paid:  			
>>>Amount paid altered to $ 			
 on the Fee Payment Voucher document.<<<			
>>>Check cancelled on: 			
Check WILL be replaced.			
Check WILL be re-issued.			
Check WILL NOT be replaced.			
Patient has never been assigned ID Card!			
Current ID Card: 			
Date Issued: 			
No previous ID Cards!			
Does not currently have ID Card!			
Date/Time Changed			
Old Card #			
Person Who Changed			
Reason For Change			
There are no Invoices Pending completion!			
Fee Site Parameters must be Initialized!			
Invoice is Complete			
Totals: $ 			
Vendor: 			
   Vendor ID: 			
   Patient ID: 			
FPPS Line Item: 			
Drug Name			
   Amt Claimed   			
Generic Drug Substituted: 			
Pharmacy Remarks: 			
Hit Return to accept default dispensing fee or enter a dollar amount between .01 and 20			
**Payment is for emergency treatment under 38 U.S.C. 1725.			
Amount Paid cannot be greater than the Amount Claimed			
This option is restricted to holders of the 'FBAASUPERVISOR' security key.			
The last user to enter/edit this Authorization was 			
FPPS CLAIM ID: 			
Invoice: 			
Service selected for that date already in system.			
Do you want to add another service for the SAME DATE			
You must use the 'EDIT PAYMENT' option to edit the service previously			
entered for that date.			
Want to edit it			
Warning, you can only enter 			
 more line(s)!			
This Batch already has the maximum number of Payments!			
Will any line items in this invoice be for contracted services			
Answering no indicates interest will not be paid for any line items.			
Patient:  			
No Address information for this patient!			
Patient's Permanent address:			
Address Line 			
Zip:			
County			
Want to edit Permanent Address data			
Payment is for a contracted service so fee schedule does not apply.			
However, f			
ee schedule amount is $			
 from the 			
Unable to determine a FEE schedule amount.			
  Therefore, fee schedule amount reduced to $			
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