DATE:
Mark the month, day, and year responses for your call date in the fields provided. The month and year responses are pre-labeled. The Day portion of the date field requires that you mark two responses. Dates between the first and ninth of the month should be recorded as ‘01’, ‘05’, ‘09’, etc. Space has been provided to print the day and year values.

MAIS NUMBER
The MAIS Number section consists of two parts; the seven-digit unique number pre-printed on each form, and a computer-coded representation of that number. You should take particular care not to make stray marks in this area. Even slight marks in this area can change the computer-coded value of the pre-printed number.