Posting a document containing just a screen shot isn't terribly useful. At a guess, I'd say you document has formfields with the 'calculate on exit' property checked, plus either a FILLIN field or an ASK field that is used to solicit information. The 'calculate on exit' property causes Word to update all fields, which results in the FILLIN field or an ASK field displaying. Depending on who well the field coding for the document has been done, the solution might be as simple as providing whatever the FILLIN field or an ASK field requires.

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Cheers,
Paul Edstein
[Fmr MS MVP - Word]