Download:
pdf |
pdf Non-visible Questions
Label
State where you currently
work or last worked
Completion Date
DEA (Drug Enforcement
Agency)
FEIN (Federal Employer
Identification Number)
FDA (Food and Drug
Administration)
Experian questions
PDF Name
Location
(step)
SQInd (1)
Below “Do you have a license
for your selected profession
or field of licensure?”
Response
Input Item
Text box
SQInd (1)
SQOrg (1)
SQInd (1)
SQOrg (1)
SQInd (1)
SQOrg (1)
SQInd (1)
SQOrg (1)
SQInd (4)
To the right of “Completed?”
Text box
Below “NPI”
Text box
If user selects "No" or "Not
sure" option in response to "Do
you have a license for your
selected profession or field of
licensure?”
If user selects "Yes" option in
response to "Completed?"
If user selects DEA checkbox
Below “DEA”
Text box
If user selects FEIN checkbox
Below “FEIN”
Text box
If user selects FDA checkbox
“Identity Verification” tab
Radio
button
State Changes
Label
Profession or Field of
Licensure Modal
PDF Name
SQProfession
Item Type
Modal
Password Rules
SQPassword
Info box
Visibility Trigger
Other
"yyyy" hint text in text box
Question and answer content
determined by Experian. User will
be shown four questions, at least
one of which contains financial
information. The questions are
customized based on the user’s
information. The user may be shown
questions other than those pictured
in the PDF.
Visibility Trigger
When the “Profession or Field of Licensure” text box is selected
the Profession or Field of Licensure modal shown in the
SQFormProfession PDF appears.
When "view rules" is clicked, or when the “Password” text box is
selected, the Password Rules info box shown in the
SQFormPassword PDF appears.
| File Type | application/pdf |
| File Modified | 2014-11-24 |
| File Created | 2014-11-24 |