| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | agency(+) | 0;1 | FREE TEXT | B | This is the name of the community resource module agency. | |
| 1 | street address 1(+) | 0;2 | FREE TEXT | This is the primary address of agency. | ||
| 1.5 | street address 2 | 4;3 | FREE TEXT | This is the secondary address of agency. | ||
| 2 | city(+) | 0;3 | FREE TEXT | E | This is the city where the agency is located. | |
| 2.5 | state(+) | 4;2 | POINTER | 5 | This is the state in which this agency is located. | |
| 3 | county(+) | 4;1 | FREE TEXT | M | This field is used to show what county within the state the agency is located. | |
| 4 | zip code(+) | 0;5 | FREE TEXT | D | This is the zip code of the agency. | |
| 5 | phone number #1(+) | 0;6 | FREE TEXT | This is the primary phone number of the agency. | ||
| 5.1 | fax number | 0;8 | FREE TEXT | This is the FAX number of the agency. | ||
| 5.2 | phone number #2 | 1;4 | FREE TEXT | This is the secondary phone number of the agency. | ||
| 6 | hours(+) | 0;7 | FREE TEXT | This field contains the operational hours of this agency. | ||
| 7 | service(+) | 1;1 | FREE TEXT | This field contains the Mission Statement of Services provided by the agency. | ||
| 8 | eligibility(+) | 1;2 | FREE TEXT | This is the criteria required for service delivery. | ||
| 9 | fees(+) | 1;3 | FREE TEXT | This field contains fees charged by the agency. | ||
| 10 | referral(+) | 2;1 | FREE TEXT | This is the usual procedure required to access services. | ||
| 11 | comments | 2;2 | FREE TEXT | These are brief comments about this agency. | ||
| 12 | date of info(+) | 2;3 | DATE-TIME | This is the date on which the information about this agency was entered or updated. | ||
| 13 | va liaison(+) | 2;4 | FREE TEXT | This field will be the VA Liaison for the community resource. | ||
| 15 | special population | 2;6 | FREE TEXT | This is the special population that this agency may serve. | ||
| 16 | type | 3;0 | MULTIPLE | 656.01 | This field is used for the type of services provided by an agency. An agency can provide multiple types of services. |
Not Referenced