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| group1= Location
| list1 = Loc
| group2= Land
| list2 = Info Class & Evidence
| group3= Activity
| list3 = Info Class
| group4= Accident
| list4 = Unknown Device
| group5= Victim
| list5 = Injury & Household
| group6= Assistance
| list6 = Assistance
| group7= Education
| list7 = Education
| group8= QM
| list8 = QM
}}
| group2= Data Entry Form
