<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<wcb:results wcb:application-id="CIS" wcb:bp-submission-id="BPSUB0011" wcb:production-test-indicator="T" xsi:schemaLocation="http://www.wcb.state.ny.us/xml/ns/wcb http://www.wcb.state.ny.us/xml/schema/xfs-results.xsd" xmlns:wcb="http://www.wcb.state.ny.us/xml/ns/wcb" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
	<wcb:bp-filename>sub009.xml</wcb:bp-filename>
	<wcb:received-date>2009-10-05</wcb:received-date>
	<wcb:submission-detail wcb:documents-accepted="1" wcb:documents-partially-accepted="0" wcb:documents-received="2" wcb:documents-rejected="1">
		<wcb:document wcb:bp-document-comment="Patient:  Richard Jones" wcb:bp-document-id="DOC00001" wcb:form-id="C-4NARR" wcb:status-code="ACC" wcb:version-number="1012"/>
		<wcb:document wcb:bp-document-comment="Patient:  Bob Smith" wcb:bp-document-id="DOC00002" wcb:form-id="C-4AMR" wcb:status-code="REJ" wcb:version-number="1012">'Doctor Billing Address Zip' is missing.  It is required because 'Doctor Billing Address Country' is USA.</wcb:document>
		<wcb:document wcb:bp-document-comment="Patient:  Ricky Bobby" wcb:bp-document-id="DOC00003" wcb:form-id="OT/PT-4" wcb:status-code="ACC" wcb:version-number="1012"/>
	</wcb:submission-detail>
</wcb:results>
