Constituent Profile form
Use the Constituent Profile form in the Public Sector Digital Services application to display detailed information about a constituent, such as the name and address, date of birth, contact information, and language choice.
The following table describes the detailed information that you can add to the Constituent form.
| Field | Description |
|---|---|
| Consumer reference | Reference number for the constituent case. |
| First name | First name. |
| Last name | Last name. |
| Middle name | Middle name. |
| Number | Phone number of the constituent. |
| Suffix | Suffix of the constituent name. The suffix may include MD or Jr. |
| Mobile phone | Mobile phone number for the constituent. |
| Business phone | Business phone number for the constituent. |
| Fax | Fax number. |
| Photo | Photo of the constituent. |
| Email of the constituent. | |
| Gender | Gender of the constituent. |
| Date of birth | Date of birth of the constituent. |
| Country of birth | Country of birth of the constituent. |
| Age | Age of the constituent. |
| Identification Information | |
| Primary identification type | Type of primary identification:- Social Security Number - State Identification Number - Drivers License Number - Medicare ID |
| Identification field | Type of identification. This field appears only when an option is selected from the Primary identification type field.- Social Security Number - State Identification Number - Drivers License Number - Medicare ID |
| Primary correspondence Information | |
| Primary address type | Type of primary address for the constituent: - Home address - Business address - Mailing address |
| Street | Street of the constituent. |
| City | City that the constituent lives in. |
| State/Province | State in which the constituent lives. |
| ZIP/Postal code | ZIP code for the address of the constituent. |
| Latitude | Latitude of the address of the constituent. |
| Longitude | Longitude of the address of the constituent. |
| Primary phone number | Primary phone number of the constituent. |
| Additional information | |
| Marital status | - Married - Single - Divorced - Widowed - I do not wish to provide this information |
| Employment status | - Employed - Unemployed - Self employed - I do not wish to provide this information |
| Race | - American Indian or Alaska Native - Asian - Native Hawaiian or other Pacific Islander - Black or African American - White - I do not wish to provide this information |
| Ethnicity | - Hispanic or Latino - Not Hispanic or Latino - I do not wish to provide this information |
| Military status | - Active duty - Veteran - No military duty - I do not wish to provide this information |
| Disability status | - Yes, I have a disability - No, I do not have a disability - I do not wish to provide this information |
| Highest education level | - High school or equivalent - Technical or occupational certificate - Associate degree - Some college coursework completed - Bachelor's degree - Master's degree - Doctorate - Professional - Other |
| Primary language choice | - English - Spanish |
| Notes | |
| Notes | Additional notes about the constituent or the case. |
Parent Topic:Public Sector Digital Services Core Profile Forms