Page 1 of 12 TDA 4286 A 03/21
Questions? Call a New Accounts representative at 800-276-8746.
Please visit us at www.tdameritrade.com for more information about opening an account.
Return Options:
Electronically via Message Center:
Log in and go to Client Services >
Message Center to attach the le
Regular Mail:
PO Box 0, Omaha, NE -0
Overnight Mail:
 South 10th Avenue
Omaha, NE -
Fax: --
Trust Account Application
*TDA4286*
1
Type of Account (Please select only one. Additional paperwork is required for
some account types.)
QUALIFIED RETIREMENT PLANS (Please provide a signed plan document)
Is this account part of an existing plan at TD Ameritrade?
CC
Yes
CC
No
If yes, please provide an account number:
CC
Prot Sharing Plan (PSP)
CC
01(k)
CC
Roth 01(k)
CC
0(b)
CC
Money Purchase Pension Plan (MPPP)
CC
Individual 01(k)
CC
0(b)
CC
Other:
CC
Personal Trust
CC
Other:
Funding Your Account
2
I will be funding with
CC
A check. Please make check payable to TD Ameritrade Clearing, Inc.
CC
A wire transfer to be initiated after account opening. Please contact TD Ameritrade prior to initiating the wire transfer.
CC
A transfer of assets from an existing account. Please complete and include an Account Transfer Form and a copy of your
most recent statement.
CC
A transfer from an existing TD Ameritrade account. Please complete and include an Internal Transfer Form.
CC
Stock certicates. Please contact TD Ameritrade prior to submitting certicates.
Reset Form
Page 2 of 12 TDA 4286 A 03/21
Title of Trust:
Grantor(s)/Settlor(s)/Trustor(s) of the Trust:
Employee Participant: (where applicable)
Name(s) of the Successor Trustee(s): (if applicable)
Beneciaries of the Trust:
Home Address: (no PO Box or mail drop)
City: State: Zip Code: Country:
3
Trust Information
Date of Formation: Date of the Last Amendment to the Trust
U.S. Social Security Number:Tax ID Number:
OR
Mailing Address: (if dierent from above)
City: State: Zip Code: Country:
Primary Phone number:
C C
Check here if this is not a U.S. phone number
Secondary Phone number:
C C
Check here if this is not a U.S. phone number
Email Address (required for electronic delivery of your account
statement and trade conrmations):
Fax number:
Please list the single Tax ID or Social Security Number under which your trust reports taxes.
Annual Income:
CC
0-,
CC
,000-,
CC
0,000-,
CC
100,000-,
CC
0,000+
Approximate Net Worth: (not including primary residence)
CC
0-1,
CC
1,000-,
C C
0,000-,
CC
100,000-,
CC
0,000-,
CC
00,000-,
CC
1,000,000-1,,
CC
,000,000+
Approximate Liquid Net Worth: (cash, stocks, etc.)
CC
0-1,
CC
1,000-,
C C
0,000-,
CC
100,000-,
CC
0,000-,
CC
00,000-,
CC
1,000,000-1,,
CC
,000,000+
Page 3 of 12 TDA 4286 A 03/21
Section , Trust Information continued
CC
Check here if any Trustee, their spouse, any member of their immediate family living in the same household, including parents,
in-laws, siblings, and dependents is a member of the board of directors, 10% shareholder, or policy-making ocer of a publicly
traded company. Specify the name of the aliated person/Trustee, the company name, ticker symbol, address, city, and state:
CC
Check here if any Trustee, their spouse, any member of their immediate family living in the same household, including parents,
in-laws, siblings, and dependents is licensed, employed by or associated with a broker-dealer rm, a nancial services regulator,
securities exchange, or member of a securities exchange. If checked, please specify the name of the aliated person/Trustee
and aliated entity below. If this entity requires its approval for you to open this account, please provide a copy of the
required authorization letter (with this application):
CC
Check here if any Trustee, their spouse, any member of their immediate family, including parents, in-laws, siblings, and
dependents is, or is employed by, a federal or state registered Investment Advisor. Specify the name of the person aliated
with the Trustee employed by the Registered Investment Advisor and Investment Advisor company name:
CC
Check here if any Trustee, their spouse, any member of their immediate family, including parents, in-laws, siblings, and
dependents is using a license in a professional sale or trading capacity. Specify the name of the licensed professional, their
relationship to the trustee, and if associated with an entity:
4
Aliations
5
Authorized Agent Compensation
CC
Check here if any Authorized Agent (unaliated with the entity) is being compensated for providing investment advice, placing
trades, or otherwise managing the account.
What best describes the initial source of funds for this account?
CC
Employment/Wages
CC
Retirement Funds
CC
Gift
CC
Savings
CC
Inheritance/Trust
CC
Investments
CC
Unemployment/Disability
CC
Legal Settlement
CC
Lottery/Gaming
CC
Spousal/Parental Support
CC
Other (describe source of funds):
What best describes the ongoing source of funds for this account?
CC
Employment/Wages
CC
Retirement Funds
CC
Gift
CC
Savings
CC
Inheritance/Trust
CC
Investments
CC
Unemployment/Disability
CC
Legal Settlement
CC
Lottery/Gaming
CC
Spousal/Parental Support
CC
Other (describe source of funds):
Page 4 of 12 TDA 4286 A 03/21
6
Trustee Information
Full Legal Name:
Date of Birth:
Name Prex (optional):
CC
Mr.
CC
Mrs.
CC
Ms.
CC
Dr.
CC
Rev.
Number of
Dependents:
Home Address: (no PO box or mail drop)
Mailing Address: (if dierent from above)
City:
City:
State:
State:
Zip Code:
Zip Code:
Country:
Country:
Country of Citizenship:
Country of Birth:
CC
Check here if you are NOT a U.S. citizen.
Country of Dual/Secondary Citizenship (if applicable):
Non-U.S. citizens*: Do you hold a current U.S. immigration visa?
CC
Yes
CC
No
Specify visa type: Visa Number: Expiration:
Primary Phone number:
C C
Check here if this is not a U.S. phone number
Secondary Phone number:
C C
Check here if this is not a U.S. phone number
Email Address (required for electronic delivery of your account
statement and trade conrmations):
Fax number:
Tax ID Number:
Employer Name (If Self-Employed, provide the name of your business):
Please choose from the list provided on page 1 the occupation code and industry of occupation code that most accurately describes your situation.
Occupation Code: Industry of Occupation Code:
Employer Address:
City: State: Zip Code: Country:
* Nonresident aliens must submit a copy of a current passport and a copy of a bank or brokerage statement.
U.S. Social Security Number: OR
Please specify if you are:
CC
Employed
CC
Unemployed
CC
Retired
CC
Homemaker
CC
Student
CC
Self-Employed
Page 5 of 12 TDA 4286 A 03/21
7
Co-Trustee Information
Full Legal Name:
Date of Birth:
Name Prex (optional):
CC
Mr.
CC
Mrs.
CC
Ms.
CC
Dr.
CC
Rev.
Number of
Dependents:
Home Address: (no PO box or mail drop)
Mailing Address: (if dierent from above)
City:
City:
State:
State:
Zip Code:
Zip Code:
Country:
Country:
Country of Citizenship:
Country of Birth:
CC
Check here if you are NOT a U.S. citizen.
Country of Dual/Secondary Citizenship (if applicable):
Non-U.S. citizens*: Do you hold a current U.S. immigration visa?
CC
Yes
CC
No
Specify visa type: Visa Number: Expiration:
Primary Phone number:
C C
Check here if this is not a U.S. phone number
Secondary Phone number:
C C
Check here if this is not a U.S. phone number
Email Address (required for electronic delivery of your account
statement and trade conrmations):
Fax number:
Tax ID Number:
Employer Name (If Self-Employed, provide the name of your business):
Please choose from the list provided on page 1 the occupation code and industry of occupation code that most accurately describes your situation.
Occupation Code: Industry of Occupation Code:
Employer Address:
City: State: Zip Code: Country:
* Nonresident aliens must submit a copy of a current passport and a copy of a bank or brokerage statement.
U.S. Social Security Number: OR
Please specify if you are:
CC
Employed
CC
Unemployed
CC
Retired
CC
Homemaker
CC
Student
CC
Self-Employed
Page 6 of 12 TDA 4286 A 03/21
8
Trade Conrmations and Account Statements
I understand that I will receive monthly account statements and trade conrmations electronically, unless I make a selection below.
If I do not provide a valid email address, I will receive a quarterly paper statement or a monthly paper statement. Certain types of
accounts or activities (such as options trading) require a monthly statement, either electronically or via U.S. mail. I will be responsible
for any fees that apply. Accounts with a total liquidation value of 10,000 or an average of ve trades per month over a three-month
period are eligible to receive free paper statement and conrmation delivery.
If I elect to receive either electronic statements or electronic conrmations, I will receive shareholder information electronically
when available.
9
Investment Objectives
Select the degree of risk you are willing to take with the assets in this account:
CC
Conservative
CC
Moderate
CC
Aggressive
CC
Speculative
Select the primary investment objective for this account:
CC
Conservation
CC
Moderate
CC
Moderate Growth
CC
Growth
CC
Aggressive Growth
Select the secondary investment objectives for this account: (Check at least one or all that apply)
CC
Conservation
CC
Moderate
CC
Moderate Growth
CC
Growth
CC
Aggressive Growth
CC
None
Select the liquidity needs for this account: (Check only one that applies)
CC
Within  months
CC
 -  months
CC
 -  months
CC
10 - 1 months
CC
More than 1 year
Select the investment time horizon for this account:
CC
Less than 1 year
CC
1 -  years
CC
 -  years
CC
 - years
CC
10-1 years
CC
1 years or more
10
Margin Privileges
Please provide all of the income information above for the Trust in section . All qualied accounts are opened as margin accounts
unless you decline margin privileges in this section. A margin account allows you to borrow from TD Ameritrade against certain
securities as your collateral. A decline in the value of your securities may require you to provide additional funds, or force the sale of
securities in your account. Selling short can expose you to potentially unlimited risk. To learn more about the potential benets of margin
borrowing and the associated risks involved, read the Margin Account Handbook and the Margin Disclosure Document located within
the forms library: https://www.tdameritrade.com/form-library. You must decline margin privileges if the governing documents of the
Trust do not authorize margin borrowing.
CC
Check this box if you want to decline margin privileges. If you do not check the box, your account will be opened as a margin
account if it qualies. By submitting this Account Application without checking the box to decline margin privileges, you represent
that you understand and agree that margin features are subject to the terms and conditions of the Client Agreement, which you have
agreed to by submitting this Account Application. You understand and acknowledge that securities securing loans from
TD Ameritrade may be lent to TD Ameritrade and lent by TD Ameritrade to others. You also acknowledge that if you trade "on
margin" you are borrowing money from TD Ameritrade and that you understand the requirements and risks associated with margin as
summarized in the Margin Account Handbook and Margin Disclosure Document.
For
denitions
regarding
investment
objectives,
please
see page
11 of the
application.
Account Statement:
CC
Electronic Monthly
CC
Paper Monthly ($2 fee may apply each month)
CC
Paper Quarterly ($2 fee may apply each quarter)
Trade Conrmation:
CC
Electronic
CC
Paper
CC
Unless I have checked this box, TD Ameritrade is required to share my name and address with the companies I invest in through your
services so they may contact me directly about my investment. If I direct you not to share, you will receive the information on my
behalf and will forward it to me. Shareholder information includes proxy material, prospectuses, annual reports, and other corporate
communications. In some cases, regulations may require sharing information with the companies in which I have invested despite
this election.
Page 7 of 12 TDA 4286 A 03/21
Cash Sweep Vehicle Choices
You oer me choices in managing all aspects of my portfolio. This includes oering dierent programs to earn interest on the cash in my
account through our Cash Balance programs. See the Client Agreement for a complete description of the Cash Sweep program. If I do
not make a selection, my cash balances will be swept to the TD Ameritrade FDIC Insured Deposit Account. Other sweep choices are
available for clients with household values greater than $500,000 and cash balances of more than $100,000. I understand my account
statement will include sweep transactions involving money market funds in lieu of immediate trade conrmations.
CC
TD Ameritrade FDIC Insured Deposit Account (IDA)
CC
TD Ameritrade Cash (Protected by the Securities Investor Protection Corporation (SIPC))
For those plans which require an alternative to the IDA due to regulation or applicable law, including certain 0(b) plan accounts,
the designated Sweep Vehicle will be the Federated Government Money Market Fund.
11
12
ERISA Information (Only Complete this section if establishing a Tax Exempt
Trust/QRP-Ind 401K, PSP, MPPP)
CC
Check here if the plan will NOT be covered under ERISA.
CC
Check here if the plan is covered under ERISA, and complete Section 1.
Plan Information - Fiduciary
If You Are Using a Third-Party Administrator or Record Keeper, Please Provide the
Following Information:
Fiduciary's Address: (no PO Box or mail drop)
TPA/Record Keeper Address: (no PO Box or mail drop)
Plan Fiduciary First Name:
TPA/Record Keeper Name:
Middle Name: Last Name:
Contact Name:
Fiduciary's Phone:
TPA/Record Keeper Phone:
Fiduciary's Email:
TPA/Record Keeper Email:
City:
City:
Country:
Country:
State:
State:
Zip Code:
Zip Code:
Please
select
only
one.
Page 8 of 12 TDA 4286 A 03/21
Oer Code (Optional)
13
By entering an oer code in this eld, you represent and warrant that you have read and agree to the applicable Oer Terms &
Conditions. If the oer code you enter is invalid, no oer will be applied to your account. If you have questions regarding oer codes,
please call 1-00--.
Oer Code:
Trusted Contact (Optional)
By completing this section, you authorize TD Ameritrade to contact the person(s) named below for the following reasons: if there are
questions or concerns about my whereabouts or health status; if TD Ameritrade suspects that I may be a victim of fraud or nancial
exploitation; if TD Ameritrade suspects that I might no longer be able to handle my nancial aairs; to conrm the identity of any legal
guardian, executor, trustee, authorized trader, or holder of a power of attorney; or if TD Ameritrade has any other concerns or is unable
to contact me about my account(s) held at TD Ameritrade. Please review the Client Agreement for the full terms and conditions
regarding how TD Ameritrade uses this information.
NOTE: Your Trusted Contact must be someone other than an account owner. You may provide more than two Trusted Contact
Persons by completing and signing additional Authorization Forms.
14
Relationship:
First Name: Middle Initial: Last Name:
Phone number: Email:
City: State: Zip Code: Country:
Mailing Address:
Relationship:
First Name: Middle Initial: Last Name:
Phone number: Email:
City: State: Zip Code: Country:
Mailing Address:
Page 9 of 12 TDA 4286 A 03/21
15
16
Options Account
Due to the risks involved in options, we are required to obtain the following information. The income information above must be
completed to be considered for options. You must decline options privileges if the governing documents of the Trust do not authorize
options trading.
CC
Check this box to decline options privileges.
Options Objectives (Only required if applying for options.)
For denitions
regarding
options
objectives,
please see
page 11 of the
application.
Account Agreement
In this agreement, “Account Owner,” “I,” and “my” refer to the entity for which this account is established and/or the natural person(s)
authorized to represent and act on behalf of the entity. I acknowledge that I have received and read the Client Agreement, available at
www.tdameritrade.com or by calling 00--, that will govern my account. I agree to be bound by the Client Agreement, which
may be amended from time to time and which is incorporated by this reference. I hereby certify that opening this account is consistent
with the terms and conditions of the Trust Agreement and that there are no other trustees other than the undersigned. I jointly and
severally indemnify TD Ameritrade, Inc. and hold you harmless from any and all liability and claims for damages arising out of or related
to any instructions given by any Trustee to you. This indemnication is made by me in both my capacity as Trustee and in my individual
capacity. I agree to inform you, in writing, of any amendment to the Trust, any change in the composition of the Trustees, or any other
event which could alter the certications contained herein. I acknowledge your right to examine the Trust Agreement and hereby agree
to provide you with a copy of the Trust Agreement if so requested in writing. By my signature below, I attest that I am of legal age to
contract and that the information contained in this application is true and correct. I hereby request, subject to acceptance by
TD Ameritrade, an account be opened in the name(s) set forth above. All securities, dividends, and proceeds will be held at
TD Ameritrade Clearing, Inc., unless otherwise instructed. I understand that TD Ameritrade may obtain a current consumer or credit
report to determine my eligibility, or continuing eligibility, for credit or for other legitimate business purposes. Any decision by
TD Ameritrade to extend credit may be based on information contained in a consumer or credit report, as well as the policies of
TD Ameritrade Clearing, Inc. I understand that TD Ameritrade may relate information regarding this account, including account
delinquency and voluntary closures, to consumer or credit reporting agencies. Upon my request, TD Ameritrade shall inform me of each
consumer or credit reporting agency from which they have obtained and/or reported my consumer or credit report.
TD Ameritrade agrees to notify the consumer or credit reporting agencies if I dispute the completeness or accuracy of the information
furnished by TD Ameritrade. By my signature below, I authorize TD Ameritrade to obtain consumer or credit reports for the name(s)
set forth below. I understand that non-deposit investments purchased through TD Ameritrade are not insured by the Federal Deposit
Insurance Corporation (FDIC), are not obligations of or guaranteed by any nancial institution, and are subject to investment risk and
loss that may exceed the principal invested. Unless I have declined the margin feature, I acknowledge that securities securing loans from
TD Ameritrade may be lent to TD Ameritrade and lent by TD Ameritrade to others. I also acknowledge that if I trade “on margin,” I am
borrowing money from TD Ameritrade and that I understand the requirements and risks associated with margin as summarized in the
Margin Handbook and Margin Disclosure Document. If I have applied for margin and/or option privileges, I represent, warrant, and certify
that all documents, agreements and applicable laws governing the Trust permit the establishment and maintenance of a margin account
and options trading, as applicable.
The undersigned hereby acknowledges that he/she has received and read the TD Ameritrade, Inc., and TD Ameritrade Clearing, Inc.,
Section 0(b)() Disclosure Summary document.
Types of Transactions: (Check all that apply)
CC
Stocks
CC
Bonds
CC
Options
What Are Your Options Investment Objectives: (Check all that apply)
CC
Growth
CC
Speculation
CC
Income
CC
Conservation of Capital
What Type of Activity Do You Plan to Conduct in Your Options Account?
CC
Tier 1 - Covered
Write covered calls
Write cash-secured puts
CC
Tier  - Standard Cash
Purchase options
+ Tier 1 - Covered
CC
Tier  - Standard Margin
Create spreads
Write covered puts
+ Tier  - Standard Cash
CC
Tier  - Advanced
Write uncovered options
+ Tier  - Standard Margin
MARGIN REQUIRED
Tier 2 - Standard Margin and Tier 3 - Advanced require a margin
account. If you select either of these tiers, you will automatically be
applying for options and margin approval regardless of whether you
checked the box to decline margin privileges in Section 10.
Page 10 of 12 TDA 4286 A 03/21
If I am a U.S. person for tax purposes:
Under penalties of perjury, I certify that: (1) the number shown on this form is my correct taxpayer identication number; () I
am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notied by the
Internal Revenue Services (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends,
or (c) the IRS has notied me that I am no longer subject to backup withholding; () I am a U.S. citizen or other U.S. person; and
() the FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
If I have been notied by the IRS that I am subject to backup withholding because I have failed to report all interest and dividends
on my tax return, I must cross out () in this certication.
If I am not a U.S. Person for tax purposes:
I am submitting the applicable Form W- with this form to certify my foreign status.
The IRS does not require your consent
to any provision of this document
other than the certications required
to avoid backup withholding.
The Client Agreement applicable to this brokerage account contains a predispute
arbitration clause. By signing this agreement, the parties agree to be bound by the terms
of the Client Agreement, including the arbitration agreement located in Section 12 of the
Client Agreement on page .
X
X
Trustee’s Signature: (individual who completed Section 6) Co-Trustee’s Signature: (individual who completed Section 7)
Date: Date:
Sign Here
Original
signatures
are required;
electronic
signatures and/
or signature
fonts are not
authorized
Important information about procedures for opening a new account:
To help the government ght the funding of terrorism and money laundering activities, federal law requires all nancial
institutions to obtain, verify, and record information that identies each person who opens an account.
What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that
will allow us to identify you. We may also utilize a third-party information provider for verication purposes and/or ask for a copy
of your driver’s license or other identifying documents. By my signature below, I attest that I am of legal age to contract, and I
certify, to the best of my knowledge that the information provided on this application is complete and correct.
All Active Trustees must provide their signatures below. If you wish to trade options in this account, complete the Options
Account section.
If an options account has been requested, I agree to abide by the rules of the listed options exchanges and the Options Clearing
Corporation and will not violate current position and exercise limits. I have received and read the Client Agreement that will govern my
account, and agree to be bound by it as currently in eect and as amended from time to time. I am aware of the risks involved in options
trading and represent that I am nancially able to bear such risks and withstand options-trading losses. If I have applied for margin and/
or option privileges, I represent, warrant, and certify that all documents, agreements and applicable laws governing the Trust permit the
establishment and maintenance of a margin account and options trading, as applicable.
Section , Account Agreement continued
TD Ameritrade, Inc. and TD Ameritrade Clearing, Inc., members FINRA/SIPC, are subsidiaries of The Charles Schwab Corporation.
TD Ameritrade is a trademark jointly owned by TD Ameritrade IP Company, Inc. and The Toronto-Dominion Bank.
©01 Charles Schwab & Co. Inc. All rights reserved.
Investment Products: Not FDIC Insured * No Bank Guarantee * May Lose Value
Page 11 of 12 TDA 4286 A 03/21
Investment Objectives Denitions
Conservation: Reects your desire to seek very low risk and minimize potential loss of principal. You may seek income from your
investments while understanding that returns may not keep pace with ination. You may also intend to invest over a short period of time.
Moderate: Reects your desire to seek lower risk and uctuation in your portfolio, while striving to achieve more stable returns on your
investments. It may also mean that you plan to invest over a short period of time.
Moderate growth: Reects your desire to seek growth in your portfolio by typically using a balance of growth and conservative
investment types. It may also mean that you are moderately tolerant of risk and plan to invest for a medium to long period of time.
Growth: Reects your desire to seek the potential for investment growth, as well as your tolerance for more signicant market
uctuations and risk of loss. It may also mean that you plan to invest over a long period of time.
Aggressive Growth: Reects your desire for potentially substantial investment growth, as well as your tolerance for large market
uctuations and increased risk of loss. It may also mean that you plan to invest over a long period of time.
Options Objectives Denitions
Growth: Investors are seeking the potential for investment growth and have a tolerance for more signicant market uctuations and
risk of loss.
Speculation: Investors are seeking short-term market gains that generally have above average, maximum risk, but oer the potential for
short-term, maximum gains. These strategies also have the potential for signicant losses and investors understand they could lose most,
or all, of the money they have invested.
Income: Investors are seeking income with a modest degree of risk. These investors are typically willing to accept lower potential returns
in exchange for lower risk and volatility, and understand their returns may not keep pace with ination.
Conservation of Capital: Investors are seeking to avoid risk and minimize potential loss of principal.
Page 12 of 12 TDA 4286 A 03/21
A11 Accounting
A21 Advertising/Marketing
A31 Aerospace/Defense
A41 Agriculture/Forestry
A51 Amusement and Recreation
A61 Animal Services and Veterinary
A71 Architecture/Design
A81 Arts/Antiques
A91 Athletics/Fitness
A32 Automotive
B11 Aviation
C11 Bar/Nightclub/Adult Entertainment Club
C21 Childcare
C31 Cleaning/Janitorial/Housekeeping
C41 Communications/Telecommunications
C51 Construction/Carpentry/Landscaping
C61 Convenience Store/Liquor Store/
Gas Station
C71 Customer Service and Support
E11 Education
E21 Embassy/Consulate
E31 Energy
E41 Engineering
F11 Fashion/Clothing
F21 Financial Services
F51 Firearms and Explosives
G11 Gaming/Casino/Card Club
G21 Government/Public Administration
G31 Grocery/Supermarket
H11 Healthcare/Medical Services
H21 Hotel/Hospitality
I11 Import/Export
I21 Information Technology (IT)
I31 Insurance
J11 Jewelry, Gems, and Precious Metals
L11 Legal Services/Public Safety
L21 Logistics/Supply Chain
M11 Manufacturing
M21 Maritime
M31 Media/Entertainment
M41 Mining, Oil, and Gas
M51 Money Services Businesses (Check
Cashing, Money Transmitting, Payday
Loans, Currency Exchange)
N11 Non-Prot/NGO (Non-Government
Agency)/Charity
O31 Other; If Other, include a description
in the Industry of Occupation box
P11 Parking and Car Washes
P21 Pawn Shops/Brokers
P31 Personal Care/Hygiene (Beauty,
Salon, Cosmetics, Massage, etc.)
P41 Pharmaceuticals
P51 Printing/Publishing
P71 Professional/Civic Organizations
(Non-Retail)
R11 Real Estate
R21 Religious Organization
R31 Repair Services - Home, Auto,
and Other
R41 Restaurant/Food Service
R51 Retail Sales/Retail Trade
S11 Science and Biotechnology
S21 Security
T11 Transportation
T31 Travel
U11 Utilities (Public)
W11 Wholesale Sales/Trade
Industry of Occupation Codes
A42 Accountant/Auditor/Bookkeeper
A62 Adjuster
A82 Advertiser/Marketer/PR Professional
A33 Air Trac Controller
A43 Ambassador/Consulate Professional
A53 Analyst
A63 Appraiser
A73 Architect/Designer
A83 Artist/Performer/Actor/Dancer
A93 Assistant/Executive Assistant
A44 Athlete
A64 Attorney/Judge/Legal Professional
A74 Auctioneer
L51 Banker/Lending Professional
B21 Barber/Beautician/Hairstylist
B31 Broker/Registered Rep
B41 Business Executive (VP, Director, etc.)
B51 Business Owner
C81 Caregiver
C91 Carpenter/Construction Worker/
Contractor
C22 Cashier
C32 Chef/Cook
C42 Chiropractor
C52 Civil Servant
C62 Clergy
C72 Clerk
C82 Compliance/Regulatory Professional
C92 Consultant
C43 Counselor/Therapist
C53 Customer Service Representative
D11 Dealer
D61 Dentist
D31 Distributor
D41 Doctor/Surgeon/Physician
D51 Driver
E51 Engineer
E71 Exterminator
F71 Factory/Warehouse Worker
F81 Farmer/Rancher
F91 Financial Planner/Advisor
F22 Flight Attendant
F32 Human Resources Professional
I41 Importer/Exporter
I51 Inspector/Investigator
I81 Investor
I91 IT Professional/IT Associate
J31 Janitor
J41 Jeweler
L31 Laborer
L41 Landscaper
M91 Mechanic
M22 Military, Ocer or Associated
M32 Mortician/Funeral Director
N21 Nurse
O11 Oce Associate
O21 Other; If Other, include a description
in the Occupation box.
P81 Pharmacist
P91 Physical Therapist
P22 Pilot
P32 Police Ocer/Fireghter/
Law Enforcement Professional
P42 Politician
P52 Project Manager
R81 Real Estate Professional
R71 Researcher
S41 Salesperson
S51 Scientist
S61 Seamstress/Tailor
S71 Security Guard
S81 Social Worker
T41 Teacher/Professor
T51 Technician
T61 Teller
T71 Tradesperson/Craftsperson
T81 Trainer/Instructor
U21 Underwriter
V11 Veterinarian
W21 Writer/Journalist/Editor
Occupation Codes