View In:   ArcGIS Online Map Viewer

Name: Damage_Claim_Intake_Form

Display Field: name

Type: Feature Layer

Geometry Type: esriGeometryPoint

Description:

Service Item Id: 39ff3d4cb6e444218b361aa7f33081b8

Copyright Text:

Default Visibility: true

MaxRecordCount: 2000

MaxSelectionCount: 0

Supported Query Formats: JSON, geoJSON, PBF

Min Scale: 0.0

Max Scale: 0.0

Supports Advanced Queries: true

Supports Statistics: true

Can Scale Symbols: false

Use Standardized Queries: true

Supports ValidateSQL: true

Supports Calculate: true

Extent:

XMin: -121.02808963000001
YMin: 31.563492576999977
XMax: -109.275623537
YMax: 43.61714001399997
Spatial Reference: 4326  (4326)  LatestVCSWkid(0)

Drawing Info:

Renderer:
Simple Renderer:
Symbol:
Style: esriSMSCircle
Color: [91, 158, 71, 255]
Size: 4.0
Angle: 0.0
XOffset: 0
YOffset: 0
Outline:
[0, 0, 0, 255] Width: 0
Label: N/A
Description: N/A
Transparency: 0
Labeling Info:

Feature Draw Order:

N/A

Advanced Query Capabilities:

Supports Statistics: true
Supports OrderBy: true
Supports Distinct: true
Supports Pagination: true
Supports TrueCurve: false
Supports Returning Query Extent: true
Supports Query With Distance: true
Supports Sql Expression: true
Supports Query With ResultType: true
Supports Returning Geometry Centroid: false
Supports Binning LOD: true
Supports Query With LOD Spatial Reference: true
Supports Percentile Statistics: true
Supports Having Clause: true
Supports Count Distinct: true
Supports Time Relation: false
Supports Sql Format: false
Supports Query Analytic: true
Supports Query With Current User: true

HasZ: false

HasM: false

Has Attachments: true

HTML Popup Type: esriServerHTMLPopupTypeAsHTMLText

Type ID Field:

Fields:

• objectid ( nullable: false, defaultValue: null, editable: false, length: 4, type: esriFieldTypeOID, modelName: objectid, alias: ObjectID )
• globalid ( nullable: false, editable: false, defaultValue: null, length: 38, type: esriFieldTypeGlobalID, modelName: globalid, alias: GlobalID )
• uniquerowid ( modelName: uniquerowid, nullable: true, editable: true, defaultValue: null, length: 38, alias: RowID, type: esriFieldTypeGUID )
• name ( modelName: name, nullable: true, editable: true, defaultValue: null, length: 255, alias: Your Name (first and last):, type: esriFieldTypeString )
• city ( modelName: city, nullable: true, editable: true, defaultValue: null, length: 255, alias: City:, type: esriFieldTypeString )
• state_abbr ( modelName: state_abbr, nullable: true, editable: true, defaultValue: null, length: 255, alias: State:, type: esriFieldTypeString , Coded Values: [AL: AL] , [AK: AK] , [AZ: AZ] , ...47 more... )
• zip ( modelName: zip, nullable: true, editable: true, defaultValue: null, alias: Zip Code:, type: esriFieldTypeInteger )
• email ( modelName: email, nullable: true, editable: true, defaultValue: null, length: 255, alias: Email Address:, type: esriFieldTypeString )
• phone ( modelName: phone, nullable: true, editable: true, defaultValue: null, length: 255, alias: Phone Number:, type: esriFieldTypeString )
• preferred_comm ( modelName: preferred_comm, nullable: true, editable: true, defaultValue: null, length: 255, alias: Preferred method of communication:, type: esriFieldTypeString , Coded Values: [Phone: Phone] , [Email: Email] )
• datetime ( modelName: datetime, nullable: true, editable: true, defaultValue: null, precision: 1, length: 29, alias: Date and Time of Incident:, type: esriFieldTypeDate )
• claim_type ( modelName: claim_type, nullable: true, editable: true, defaultValue: null, length: 255, alias: Type of Claim:, type: esriFieldTypeString , Coded Values: [Vehicle: Vehicle] , [Property: Property] )
• claim_subtype ( modelName: claim_subtype, nullable: true, editable: true, defaultValue: null, length: 255, alias: Type of Damage:, type: esriFieldTypeString )
• other ( modelName: other, nullable: true, editable: true, defaultValue: null, length: 255, alias: If other, please describe:, type: esriFieldTypeString )
• damage_description ( modelName: damage_description, nullable: true, editable: true, defaultValue: null, length: 255, alias: Description of damage:, type: esriFieldTypeString )
• vehicle_make ( modelName: vehicle_make, nullable: true, editable: true, defaultValue: null, length: 255, alias: Vehicle Make:, type: esriFieldTypeString )
• vehicle_model ( modelName: vehicle_model, nullable: true, editable: true, defaultValue: null, length: 255, alias: Vehicle Model:, type: esriFieldTypeString )
• vehicle_year ( modelName: vehicle_year, nullable: true, editable: true, defaultValue: null, alias: Vehicle Year:, type: esriFieldTypeInteger )
• license_plate ( modelName: license_plate, nullable: true, editable: true, defaultValue: null, length: 255, alias: License Plate:, type: esriFieldTypeString )
• contact_ems ( modelName: contact_ems, nullable: true, editable: true, defaultValue: null, length: 255, alias: Did you contact the police or emergency services?, type: esriFieldTypeString , Coded Values: [yes: Yes] , [no: No] )
• direction ( modelName: direction, nullable: true, editable: true, defaultValue: null, length: 255, alias: Please describe direction of travel:, type: esriFieldTypeString )
• injuries ( modelName: injuries, nullable: true, editable: true, defaultValue: null, length: 255, alias: Did you sustain any injuries during this incident?, type: esriFieldTypeString , Coded Values: [yes: Yes] , [no: No] )
• injuries_description ( modelName: injuries_description, nullable: true, editable: true, defaultValue: null, length: 255, alias: Please describe injuries:, type: esriFieldTypeString )
• constzone ( modelName: constzone, nullable: true, editable: true, defaultValue: null, length: 255, alias: Did the damage occur in a construction zone?, type: esriFieldTypeString , Coded Values: [yes: Yes] , [no: No] )
• constzone_contractor ( modelName: constzone_contractor, nullable: true, editable: true, defaultValue: null, length: 255, alias: Please provide the contractor name if known:, type: esriFieldTypeString )
• description ( modelName: description, nullable: true, editable: true, defaultValue: null, length: 255, alias: Please provide a detailed description of the incident in which alleged damage occurred:, type: esriFieldTypeString )
• fraud_disclaimer ( modelName: fraud_disclaimer, nullable: true, editable: true, defaultValue: null, length: 255, alias: Insurance Fraud Disclaimer:, type: esriFieldTypeString , Coded Values: [Fraud: It is a crime to present a written statement or representation in connection with a civil claim asserted for recovery of damages for personal or bodily injuries or property damage; and knowing that the statement or representation contains false, incomplete, or fraudulent information concerning any fact or thing material to the claim. § 76-6-521 Fraudulent insurance act.] )
• acknowledgement ( modelName: acknowledgement, nullable: true, editable: true, defaultValue: null, length: 255, alias: Please confirm the following:, type: esriFieldTypeString , Coded Values: [Confirm: I confirm that all information in this form is accurate and true to the best of my knowledge.] )
• loc_y ( modelName: loc_y, nullable: true, editable: true, defaultValue: null, length: 255, alias: loc_y, type: esriFieldTypeString )
• loc_x ( modelName: loc_x, nullable: true, editable: true, defaultValue: null, length: 255, alias: loc_x, type: esriFieldTypeString )
• randh_url ( modelName: randh_url, nullable: true, editable: true, defaultValue: null, length: 255, alias: randh_url, type: esriFieldTypeString )
• randh_json ( modelName: randh_json, nullable: true, editable: true, defaultValue: null, length: 255, alias: JSON Response, type: esriFieldTypeString )
• route ( modelName: route, nullable: true, editable: true, defaultValue: null, length: 255, alias: route, type: esriFieldTypeString )
• measure ( modelName: measure, nullable: true, editable: true, defaultValue: null, length: 255, alias: measure, type: esriFieldTypeString )
• created_date ( modelName: created_date, nullable: true, editable: false, defaultValue: null, precision: 1, length: 29, alias: created_date, type: esriFieldTypeDate )
• created_user ( modelName: created_user, nullable: true, editable: false, defaultValue: null, length: 255, alias: created_user, type: esriFieldTypeString )
• last_edited_date ( modelName: last_edited_date, nullable: true, editable: false, defaultValue: null, precision: 1, length: 29, alias: last_edited_date, type: esriFieldTypeDate )
• last_edited_user ( modelName: last_edited_user, nullable: true, editable: false, defaultValue: null, length: 255, alias: last_edited_user, type: esriFieldTypeString )
• address ( modelName: address, nullable: true, editable: true, defaultValue: null, length: 255, alias: Address:, type: esriFieldTypeString )
• claimstatus ( nullable: true, editable: true, defaultValue: null, length: 255, type: esriFieldTypeString, modelName: claimstatus, alias: Claim Status: , Coded Values: [Received: Received] , [Needs More Information: Needs More Information] , [Redirect: Redirect] , ...3 more... )
• assignedto ( modelName: assignedto, nullable: true, editable: true, defaultValue: null, length: 255, alias: Assigned To:, type: esriFieldTypeString )
• notes ( modelName: notes, nullable: true, editable: true, defaultValue: null, length: 255, alias: Notes:, type: esriFieldTypeString )
• privateinsurance ( modelName: privateinsurance, nullable: true, editable: true, defaultValue: null, length: 255, alias: Have you filed a claim with your homeowner's or auto insurance?, type: esriFieldTypeString , Coded Values: [yes: Yes] , [no: No] )
• insuranceclaim2 ( modelName: insuranceclaim2, nullable: true, editable: true, defaultValue: null, length: 255, alias: Insurance claim information:, type: esriFieldTypeString )
• shedjson ( modelName: shedjson, nullable: true, editable: true, defaultValue: null, length: 255, alias: Shed JSON response, type: esriFieldTypeString )
• stationnum ( modelName: stationnum, nullable: true, editable: true, defaultValue: null, length: 255, alias: Station Number, type: esriFieldTypeString )
• isstateroute ( modelName: isstateroute, nullable: true, editable: true, defaultValue: null, length: 255, alias: Is the point on a state route, type: esriFieldTypeString )
• routenote ( modelName: routenote, nullable: true, editable: true, defaultValue: null, length: 255, alias: Looks like the route you chose is not a state route - please contact your local municipality., type: esriFieldTypeString )
• assignedsub ( modelName: assignedsub, nullable: true, editable: true, defaultValue: null, length: 255, alias: Assigned To Project/Company:, type: esriFieldTypeString )
• generaldisclaimer ( modelName: generaldisclaimer, nullable: true, editable: true, defaultValue: null, length: 256, alias: General Disclaimer, type: esriFieldTypeString )
• requiredquestions ( modelName: requiredquestions, nullable: true, editable: true, defaultValue: null, length: 256, alias: Required Questions, type: esriFieldTypeString )
• instructions ( modelName: instructions, nullable: true, editable: true, defaultValue: null, length: 256, alias: Instructions, type: esriFieldTypeString )
• snowplow ( modelName: snowplow, nullable: true, editable: true, defaultValue: null, length: 255, alias: Did the incident involve a snow plow?, type: esriFieldTypeString , Coded Values: [yes: Yes] , [no: No] )
• snowplow_info ( modelName: snowplow_info, nullable: true, editable: true, defaultValue: null, length: 255, alias: If yes, did you get any information about the plow?, type: esriFieldTypeString )
• text1 ( modelName: text1, nullable: true, editable: true, defaultValue: null, length: 255, alias: text1, type: esriFieldTypeString )
• policenum ( modelName: policenum, nullable: true, editable: true, defaultValue: null, length: 255, alias: Please provide the case number, if known:, type: esriFieldTypeString )
• protectedrecords ( modelName: protectedrecords, nullable: true, editable: true, defaultValue: null, length: 255, alias: Protected Records Classification Notice; please acknowledge the following:, type: esriFieldTypeString , Coded Values: [Confirm: The data collected through this claims intake system including; any associated attachments, file uploads, and derivative data analytics-based information constitute records are part of a protected loss occurrence investigation that may be used for the purpose of identifying, evaluating, or planning the safety enhancement of potential accident sites or hazardous roadway conditions. As such, all associated records are expressly protected against public records release, discovery, and admission per Utah GRAMA - § 63G-2-305(24) and 23 U.S. Code § 407.] )
• datadisclaimer ( nullable: true, editable: true, defaultValue: null, length: 255, type: esriFieldTypeString, modelName: datadisclaimer, alias: Data Subject Disclosures - § 63G-2-601(2)(b); please acknowledge the following: , Coded Values: [Data: (i) Identified Record Series: The Claims-related record series is tied to UDOT's General Retention Schedule (GRS). See GRS 9135 for more information. (ii) Collection Reason: UDOT collects claims-related data to investigate loss occurrences, adjust claims, and support the resolution of claim-related disputes. This data is also used for claimant communication and research (with data de-identified). (iii) Limited Use Purpose: This claims-related data will be used solely for investigating submitted loss occurrence claims, facilitating the claims adjusting process, assigning, tendering, and conveying claims information to parties involved in loss mitigation and claim resolution, communicating and engaging with you, the claimant, throughout the process, and utilizing redacted or de-identified data for transportation research, staff training, proactive loss mitigation, and program performance evaluation. This data will not be sold, shared for commercial purposes, or provided to third parties for data brokering. (iv) Minimum Data Required: Providing complete data is required for processing claims. Claims will not be processed with all of the required information. (v) Data Sharing: Claims data may be shared with UDOT employees, insurance carriers, contractors, state agencies, and other relevant parties essential to the expressed limited use purpose of resolving the claim. ] )
• statusclosed ( modelName: statusclosed, nullable: true, editable: true, defaultValue: null, length: 256, alias: Closed Claim - reason:, type: esriFieldTypeString )
• pothole_known ( modelName: pothole_known, nullable: true, editable: true, defaultValue: null, length: 10, alias: Known Pothole, type: esriFieldTypeString )
• pothole_action ( modelName: pothole_action, nullable: true, editable: true, defaultValue: null, length: 10, alias: Pothole Action, type: esriFieldTypeString )
• needsinfo_date ( nullable: true, editable: true, defaultValue: null, precision: 1, length: 29, alias: Needs Info Status Date, type: esriFieldTypeDate )
• dateemailed ( nullable: true, editable: true, defaultValue: null, precision: 1, length: 29, alias: Date Emailed, type: esriFieldTypeDate )
• submitteddate ( nullable: true, editable: true, defaultValue: null, precision: 1, length: 29, alias: Submitted Date, type: esriFieldTypeDate )
• region ( nullable: true, editable: true, defaultValue: null, length: 5, alias: Region, type: esriFieldTypeString )

Templates:

• Name: Damage_Claim_Intake_Form
  Description:
  Prototype:
  injuries_description: null
  instructions: null
  acknowledgement: null
  notes: null
  injuries: null
  damage_description: null
  protectedrecords: null
  isstateroute: null
  fraud_disclaimer: null
  datetime: null
  generaldisclaimer: null
  constzone_contractor: null
  loc_x: null
  pothole_known: null
  loc_y: null
  privateinsurance: null
  zip: null
  vehicle_make: null
  claimstatus: null
  shedjson: null
  snowplow: null
  claim_type: null
  policenum: null
  dateemailed: null
  claim_subtype: null
  routenote: null
  route: null
  measure: null
  insuranceclaim2: null
  phone: null
  text1: null
  name: null
  snowplow_info: null
  preferred_comm: null
  region: null
  other: null
  city: null
  vehicle_model: null
  description: null
  pothole_action: null
  constzone: null
  uniquerowid: null
  randh_url: null
  contact_ems: null
  email: null
  direction: null
  address: null
  assignedsub: null
  needsinfo_date: null
  statusclosed: null
  assignedto: null
  datadisclaimer: null
  license_plate: null
  randh_json: null
  stationnum: null
  vehicle_year: null
  state_abbr: null
  submitteddate: null
  requiredquestions: null
  
  Drawing Tool: esriFeatureEditToolPoint

Relationships:

• Damage_Claim_Intake_Form_PhotoRepeat (1) -- Related To: PhotoRepeat (1)

Capabilities: Query,Create,Update,Editing,Sync,Uploads

Sync Can Return Changes: true

Is Data Versioned: false

Supports Rollback On Failure: true

Supports ApplyEdits With Global Ids: true

Supports ApplyEdits By Upload Id: true

Edit Fields Info:

• Creation Date Field: created_date
• Creator Field: created_user
• Edit Date Field: last_edited_date
• Editor Field: last_edited_user

Supports Query With Historic Moment: false

Supports Coordinates Quantization: true

Child Resources:

Supported Operations:   Query   Query Attachments   Query Analytic   Query Top Features   Query Related Records   Query Bins   Apply Edits   Add Features   Update Features   Calculate   Append   Validate SQL   Generate Renderer   Return Updates   Metadata   Update Metadata