FILE SUBMISSION FORM
(Complete form for each file submitted)

COMPANY: ___________________________________________ DATE:___________

CONTACT:______________________________________ PHONE:________________

 FILE NAME: _____________________________________

 FILE DESCRIPTION (i.e. Address list, inventory, etc.) : ____________________________________

______________________________________________________________________

FILE FORMAT (i.e. Fixed, Delimited, EBCDIC, etc.):_________________________________

MEDIA (i.e. CD, 3480, etc.):__________________________________________________

RECORD QUANTITY:___________________  RECORD LENGTH:____________ N/A

LAYOUT PROVIDED (required):  ____ Yes     ____ No

FIELD DECODES PROVIDED (required):  ____ Yes     ____ No

ARE NECESSARY FIELD MASKS PROVIDED:  ____ Yes     ____ No

ALL FIELDS PROVIDED: ____ Yes   ____ No (provide list of missing fields & decodes)

HARDWARE PLATFORM:_________________________________________________

DATABASE:____________________________________________________________

            VERSION / RELEASE:______________________________________________

CRM PACKAGE:_____________________________________________ N/A       

DATE THE FILE WAS CREATED:_____________________________

I HAVE MADE A BACK-UP OF THIS FILE BEFORE SUBMITTING TO DFDI ________ initials

MISC. NOTES:

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