| Field | Contract No. | Specifies the Contract Number for which the pricing adjustments will be made. |
| Field | Schedule No. | Specifies the Schedule Number for which the pricing adjustments will be made. |
| Field | Delivered Quantity | Specifies the total quantity delivered for the Contract Schedule. |
| Field | Hedged Quantity | Specifies the total quantity hedged for the Contract Schedule. |
| Field | Current Adjusted Quantity | Specifies the total quantity adjusted for the Contract Schedule. |
| Field | Adjustment Date | Specifies the date of the hedge adjustment. |
| Field | Change Adjustment Quantity to: | Specifies the total quantity to apportion to hedging lines of the Contract Schedule. |