ASC X12 004010

755 Report Type Code
TYPE=ID MIN=2 MAX=2

Code indicating the title or contents of a document, report or supporting item


01       Product Transfer
02       Resale
03       Report Justifying Treatment Beyond Utilization Guidelines
04       Drugs Administered
05       Treatment Diagnosis
06       Initial Assessment
07       Functional Goals
08       Plan of Treatment
09       Progress Report
10       Continued Treatment
11       Chemical Analysis
12       Mechanical Properties
13       Certified Test Report
14       Core Loss Test Report
15       Justification for Admission
16       Western Region 01 (Internal Revenue Service Summary of line 31 on 1040)
17       Return From Tax Payer Report (Internal Revenue Service Summary)
18       Note Receivable
19       Credit Report
20       Process Plan
21       Recovery Plan
22       Functional Plan
23       Contractual Plan
24       Non-Contractual Plan
25       Purchase Plan
26       Production Plan
27       Contract Delivery Schedule
28       Master Delivery Schedule
29       Assembly Plan
30       Lead Time Chart
31       Master Schedule
32       Master Production Schedule
33       Manufacturing Flow Diagram
34       Lot Release Plan
35       Subcontractor Plan
36       Development Plan
37       Lease Agreement
38       Court Judgment
39       Lottery Winning Letter
40       Curb Side Inspection
41       Statistical Model
42       Interior and Exterior Inspection
43       Non-Inspection Report
44       Review Appraisal
45       Investor Guidelines
46       Sole Discretion Inspection
47       Brokers Price Opinion
48       Social Security Benefit Letter
49       Divorce Decree
50       Contract
51       Gift Letter
52       Will
53       Trust Agreement
54       Award Letter
55       Rental Agreement
56       Preliminary Real Estate Settlement Statement
57       Income Statement (Internal Revenue Service Form 1099)
58       Utility Bill
59       Benefit Letter
60       Canceled Check
61       Individual Tax Return (Internal Revenue Service Form 1040)
62       Asset Account Statement
63       Statement of Profit and Loss
64       Partner Share of Income, Credit, Deductions, (Internal Revenue Service Form K1)
65       Partnership Tax Return (Internal Revenue Service Form 1120)
66       Pay Stub
67       Wage and Tax Statement (Internal Revenue Service Form W2)
68       Year End Statement
69       Bank Statement
70       Verification of Loan/Installment Debt Form
71       Verification of Deposit Form
72       Verification of Mortgage/Rent Form
73       Verification of Employment Form
74       Corporation Tax Return (Internal Revenue Service Form 1065)
75       Title Certificates
76       Real Estate Settlement Statement (Housing and Urban Development Form - 1 
         "HUD1")
77       Support Data for Verification
78       Visa/Export License
79       Multi-Country Textile Declaration
80       Single Country Textile Declaration
81       Negative Textile Declaration
82       Endangered Species Convention on International Trade in Endangered Species 
         (CITES)
83       Trademark Release
84       Water Resistance Statement
85       Certificate of Ceramicware Ceramics Commodities Inspection Bureau (CCIB)
86       Wearing Apparel Detail Sheet (WADS)
87       Interim Footwear Invoice
88       Impact Resistance Statement
89       Toxic Substance Compliance Statement
90       Foreign Shippers Declaration
91       Veterinarian Certificate
92       Child Labor Certificate
93       Prison Labor Certificate
94       Purchase Order Copy
95       Product Analysis
96       American Automotive Labeling Act Certificate
97       Broker Market Analysis
A1       Air Emissions Statements
A2       Anti-Dumping Gasoline Program Report
A3       Allergies/Sensitivities Document
A4       Autopsy Report
AA       Agent Inventory Report
AB       Assembly Drawing
AC       Assay Certificate
AD       Agent/Distributor Inventory Report
AE       Attachment
AF       Aid Form
AG       Actual
AH       Easement Report
AI       Conditions, Covenant, and Restrictions Report
AJ       Impound Account Escrow Analysis Report
AK       Closing Escrow Analysis Report
AL       Reserved Escrow Analysis Report
AM       Ambulance Certification
AN       Title Policy
AO       Average Outgoing Quality Report
AP       Advanced Problem Notification
AQ       Housing and Urban Development (HUD) 1 Report
AR       Asset Reclassification Extension Request
AS       Admission Summary
AT       Purchase Order Attachment
AU       Automobile Claim Report
AV       Averaging Areas Report
AW       Air Waybill
AX       Asset Reclassification Extension Response
AY       Tax Certificate
AZ       Home Owner Authorization
B1       Batch Report
B2       Prescription
B3       Physician Order
B4       Referral Form
BA       Budget
BB       Buy or Sell Exchange Contract Status Statement
BC       Bill of Lading Copy
BE       Benzene Content Averaging Report
BF       Bailment Warehouse Withdrawal Request
BL       Bill of Lading
BM       Bill of Material
BN       Beneficiary Certificate
BO       Bill of Lading Original
BR       Benchmark Testing Results
BS       Baseline
BT       Blanket Test Results
BW       Bill of Sale
BY       Biennial Report
C1       Cost Data Summary
C2       Functional Cost and Hour
C3       Progress Curve
C4       Plant-Wide Data
C5       Certified Cost and Price Data
C6       Wage Determination
C7       Credit Transfer Summary Report
C8       Chemical/Radiological Report
C9       Certification/Authorization Document
CA       Certificate of Analysis
CB       Chiropractic Justification
CC       C.A.A. Certificate of Conformance (British CAA)
CD       Customer/Distributor Inventory Report
CE       Constable Report
CF       Capability
CG       Certificate of Origin
CH       Certificate of Weight
CI       Certificate of Inspection Report
CJ       Complications Document
CK       Consent Form(s)
CL       Cable
CM       Customer/Manufacturer Inventory Report
CN       Customer's Report of Nonconformance
CO       Consignment Order
CP       Certificate of Compliance (Material Certification)
CQ       County Record
CR       Letter of Credit
CS       Consigned Inventory Sales Report
CT       Certification
CU       Customer Notification Letter
CW       Corrective Work Order
CX       Cost/Schedule Status Report (C/SSR)
CY       Contract Funds Status Report (CFSR)
CZ       Campus Police Report
D2       Drug Profile Document
DA       Dental Models
DB       Durable Medical Equipment Prescription
DC       Distributor/Customer Inventory Report
DD       Distributor Inventory Report
DE       Certificate of Quality
DF       DA59 Special Customs Invoice for South Africa
DG       Diagnostic Report
DH       Nitrogen Certificate
DI       Directory
DJ       Discharge Monitoring Report
DK       Drawback Affidavit
DL       Draft and Transmittal Letter
DM       Distributor/Manufacturer Inventory Report
DN       Deviation/Nonconformance Test Results and Request for Action
DQ       Delinquency
DR       Datalog Report
DS       Discharge Summary
DT       Department of Transportation
DU       Commercial
DV       Condominium
DW       Drawing(s)
E1       Exporter's Certificate and Agreement
EA       Electrical Average Outgoing Quality Report
EB       Explanation of Benefits (Coordination of Benefits or Medicare Secondary Payor)
EC       Engineering Change Order
ED       Environmental Exposure Document
EL       Eligibility
EP       Experimental Material Purchase Order
ER       Engineering Change Request
EX       Shippers Export Declaration
EY       Barrel for Barrel Exchange Contract Status Statement
F1       Cost Performance Report (CPR) Format 1
F2       Cost Performance Report (CPR) Format 2
F3       Cost Performance Report (CPR) Format 3
F4       Cost Performance Report (CPR) Format 4
F5       Cost Performance Report (CPR) Format 5
F6       Transportation Carrier Inspection Report
F7       Government Inspection Report
F8       Inspection Waiver (Written)
F9       Inspection Waiver (Oral)
FB       Federal Bureau of Investigation
FC       Fumigation Certificate
FD       Federal Specification Compliance
FE       Federal Emergency Management Agency
FH       Limitation of Heavy Elements
FI       Fire Report
FM       Family Medical History Document
FS       Certificate of Free Sale
GP       Gas Processor's Report
GT       Gas Transporter's Report
HC       Health Certificate
HR       Health Clinic Records
HW       Hazardous Waste Manifest
I2       Consular Invoice
I3       Customs Invoice
I4       Forwarder's Invoice
I5       Immunization Record
I6       Carrier's Invoice
IA       Insurance Attachment
IC       Insurance Certificate
IM       Import License
IN       Inspection Request
IP       Inventory Parameter Report
IR       State School Immunization Records
IS       Index System
IT       Certified Inspection and Test Results
IU       Inspection Result
IV       Invoice
JA       Certificate of Good Standing
JB       Tax Status Clearance
JC       Consent to Use Name
JD       Certificate of Registration
JE       Certificate of Existence
JF       Certificate of Status
JG       Certificate of Name Change
JH       Certificate of Merger
JI       Certificate of Significant Change
JK       Balance Sheet
JL       Application of Name Reservation
JM       Schedule of Capital
JN       Foreign Tax Return
JO       Permit Application
JP       Admission Tax Return
JQ       Addendum to Articles
JR       Articles and Amendments
JS       Appointment of Commissioner as Registered Agent
JT       Certificate of Disclosure
JV       Notice of Registered Office
JW       Notice of Directors
JX       Organization and First Biennial Report
JY       Agreement of Statutory Agent
JZ       Consent to Act
KA       Contract Data Requirements List (CDRL)
KC       Kosher Certificate
KD       Engineering Drawing List
KE       Purchased Engineering Data List
KF       Support Documents
KG       Purchased Documents
KH       Proposal Support Data
KI       Purchased Drawings
KJ       Change Proposal Data
KY       Report of Assignment or Modification of Key Events
KZ       Request for Assignment or Modification of Key Events
LA       Laboratory Results
LB       Legalized Bill of Lading
LC       Location Inventory Report
LD       Laboratory Quality Review Variation, Deviation
LE       Latest Revised Estimate
LG       Legalized Certificate of Origin
LI       Legalized Invoice
LO       Laboratory Quality Review Order, Waiver
LP       Labor Plan
LR       Laboratory Quality Review Order, Deviation
LS       Lease Settlement Statement
LT       License Application Attachment
LW       Laboratory Quality Review Variation, Waiver
M1       Medical Record Attachment
MA       Manufacturer/Agent Inventory Report
MB       Manufacturer/Distributor Inventory Report
MC       Manufacturer/Customer Inventory Report
MD       Material Data Sheets
ME       Major Deviation Request
MF       Manufacturing Specification
MG       Migrant Student Records Transfer System (MSRTS) Record
MH       Report of Full Maintenance Period Detail
MI       Mortgage Insurance Certification
MJ       Request for Maintenance Period Status
MK       Report of Maintenance Period Status
ML       Request for Full Maintenance Period Detail
MM       Manufacturer Inventory Report
MN       Minor Deviation Request
MO       Manufacturer's Statement of Origin
MP       Request for Establishment, Modification, or Cancellation of Maintenance Period
MQ       Report of Establishment, Modification, or Cancellation of Maintenance Period
MR       Material Inspection and Receiving Report
MS       Material Safety Data Sheet
MT       Models
MV       Metered Volumes
MZ       Motor Vehicle Report
NA       National Insurance Crime Bureau Assignment
NC       Certificate of Quantity
ND       Commercial Invoice
NI       National Insurance Crime Bureau
NL       National Insurance Crime Bureau Total Loss
NM       Monthly Contractor Financial Management Report
NN       Nursing Notes
NO       National Insurance Crime Bureau Other than Theft
NQ       Quarterly Contractor Financial Management Report
NR       NOx Emissions Averaging Report
NT       National Insurance Crime Bureau Total Theft
OB       Operative Note
OC       Oxygen Content Averaging Report
OD       Orders and Treatments Document
OE       Objective Physical Examination (including vital signs) Document
OL       Ocean Bill of Lading
OP       Outside Production Operation Sheet
OR       Oil Storer's Report
OS       Organization Breakdown Structure
OT       Oil Transporter's Report
OX       Oxygen Therapy Certification
OZ       Support Data for Claim
P1       Packing List
P2       Protest
P3       Receipt
P4       Pathology Report
P5       Patient Medical History Document
P6       Periodontal Charts
P7       Periodontal Reports
P8       Property Claim Report
PA       Part Drawing
PB       Product Catalog
PC       Process Change Notice
PD       Proof of Delivery
PE       Parenteral or Enteral Certification
PF       Product Specification
PG       Packaging Specification
PH       Production History - Property Level
PI       Product Availability Inquiry
PJ       Purchasing Specification
PK       Storage Information Inquiry
PL       Property Insurance Loss Register
PM       Proof of Insurance
PN       Physical Therapy Notes
PO       Prosthetics or Orthotic Certification
PP       Proposal
PQ       Paramedical Results
PR       Purchase Report
PS       Pipeline/Shipper Inventory Report
PT       Inter-Plant Inventory Report
PV       Police Report
PW       Production History - Well Level
PX       Production, Injection and Disposition Report
PY       Physician's Report
PZ       Physical Therapy Certification
QC       Cause and Corrective Action Report
QD       Quality Review Order, Purchasing
QE       Quality Detail
QM       Quality Review Order, Manufacturing
QR       Quality Report
QS       Quality Review Order Supplement
QT       Quality Summary
R1       Reformulated Gasoline/Anti-Dumping Company Registration
R2       Reformulated Gasoline/Anti-Dumping Facility Registration
R3       Technical Information Package
R4       Purchased Technical Information Package
R5       Technical Information
R6       Miscellaneous Information
RA       Revision Announcement
RB       Radiology Films
RC       Request for Cause and Corrective Action Report
RD       Payment Bond
RE       Performance Bond
RF       Reliability Fail Rate Report
RG       Residential
RM       Request for Manufacturing Engineer Appraisal
RN       Supplier's Report of Nonconformance
RO       Regular Order
RR       Radiology Reports
RT       Report of Tests and Analysis Report
RV       Reid Vapor Pressure (RVP) Averaging Report
RX       Renewable Oxygen Content Averaging Report
S1       Supply and Shipment Status Report
S2       Supply Status Report
S3       Exception Supply Status Report
S4       Exception Supply and Shipment Status Report
S5       Product Quality Deficiency Report Category I
S6       Product Quality Deficiency Report Category II
S7       "Walsh-Healey Act" Manufacturer or Regular Dealer
S8       Report of Findings
S9       Representation
SA       State Police Report
SB       Sample Approval and Rejection List
SC       Sanitary Certificate
SD       Support Data for a Request for Quote
SE       Security Police Report
SF       Contract Security Classification Specification
SG       Symptoms Document
SH       Sheriff Report
SI       Seller Inventory Report
SL       Sample Bale List
SM       Shipping Manifests
SN       Shipping Notice
SO       Secretary Certificate
SP       Specification
SQ       Statistical Quality Documents
SR       Statistical Report
SS       Seller Sales Report
ST       Student Educational Record (Transcript)
SU       Supplier's Certificate
SV       Survey
SW       Sea Waybill
SX       Steamship Due Bill
SY       Train Sheet
T1       Title Bill
T2       Preliminary Title Work
T3       Loan Documents
T4       Tax Information
T5       Toxics Emissions Performance Averaging Report
T6       Toxics Release Inventory
TA       Asset Support Inquiry
TB       Asset Support Advice
TC       Physical Inventory Request
TD       Asset Reclassification Response
TE       Asset Reclassification Request
TF       Transaction History Request
TG       Two to Four Family
TH       Total Theft Claim Report
TI       Asset Status Inquiry
TJ       Asset Status Advice
TK       Logistics Transfer Inquiry
TL       Logistics Transfer Advice
TM       Stock Sale Report
TN       Delayed Sale Report
TO       Demand Report
TP       Treatments Certificate
TQ       Storage Information Advice
TR       Transmittal Letter
TS       Sulfur, Olefins, and T90 Averaging Report
TT       Title Transfer
TX       Tax-exempt Certificate
U1       Survey Report
UA       Union Agreement
UB       Certificate of Designation of Registered Agent
UD       List of Officers and Directors
UE       Resolution and Consent Form
UF       Domestic Business Corporation Initial Report
UG       Registered Agent Application
UH       Articles of Incorporation
UI       Certificate of Compliance
UJ       Certificate of Authorization
UK       Charter
UL       Other Type of Report
UM       Affidavit of Acceptance
UN       Resolution Adopting Fictitious Name
UO       Trade Name Application
UP       Declaration of Solicitor
UQ       Memorandum of Association
UR       Notice of Registered Agent
US       "BUY AMERICA" Certification of Compliance
UT       Notice of Registered Office
UU       Dissolution of Existing Registration
UV       Appointment of Statutory Agent
UX       Regulatory Approval for Professional Association
UY       Initial Annual Report
UZ       Certificate of Fact
V1       Voter Registration Application
V2       Voter Registration Application Disposition
V3       Voter Information Record
V4       Change of Name and/or Address
V5       Death Notification
V6       Felony Conviction Notification
V7       Incompetency Notification
VA       Variance Analysis
VC       Volatile Organic Compounds (VOC) Emissions Averaging Report
VD       Data Request for Vendor's Specifications or Drawings.
VM       Visual/Mechanical Average Outgoing Quality Report
W1       Safe Drinking Water Bacteriological Report
W2       Safe Drinking Water Report
WA       Fictitious Name Statement
WB       Work Breakdown Structure
WC       Request for Assignment or Deletion of Work Candidate
WD       Report of Assignment or Deletion of Work Candidate
WE       Business Conducted Prior to Qualification Form
WF       By-Laws
WG       Appointment of Agent for Service and Consent to Act
WH       Certificate of Name Clearance
WI       Well Information
WP       Work Progress
WT       Well Test Information
X1       Complete Appraisal
X2       Limited Appraisal
X3       Self-contained Report
X4       Summary Report
X5       Restricted Report
XE       Equipment Test Results
XP       Photographs
Y1       Appraisal
Y2       Broker Price Opinion
Y3       Real Estate Property Information
ZA       Flood Determination Report
ZB       Conventional Ammunition Suspension Report
ZZ       Mutually Defined