| Label | Type | Description | Mandatory |
| Updated On | CURAM_DATETIME | The date on which the last update was made to the evidence. | No |
| Received Date | CURAM_DATE | The date on which the evidence was received. | No |
| Effective Date of Change | CURAM_DATE | Date which the evidence becomes effective | No |
| Change Reason | EVIDENCE_CHANGE_REASON | The reason for the evidence change. | No |
| Approval Requested | CURAM_INDICATOR | Approval Requested | No |
| Status | EVIDENCE_DESCRIPTOR_STATUS | The Status of the evidence. | No |
| Immunization | CURAM_INDICATOR | If the household member has the appropriate immunizations, select the Immunized selection box. As part of the Cash Assistance (US) program, a household member who does not have the appropriate immunizations for their age group may be sanctioned and a portion of their cash assistance payment deducted for failure to comply with immunization requirements. | No |
| Non Immunization Reason | EVD_NON_IMMUNIZATION_REASON | Non immunization reason from the drop-down list of reasons, e.g., "contrary to religious beliefs", "medical condition prohibits immunizations". If a household member has a religious belief or a medical condition that prohibits immunizations, the household member is potentially eligible for the Cash Assistance (US) program. Your system administrator can add a new non immunization reason via the Code Tables page (see "Code Tables" in the Cúram Administration Guide). | No |
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| Updated By |
| Label | Type | Description | Mandatory |
| Updated By | USER_NAME | | No |
|
| Child Immunization Details |
| Label | Type | Description | Mandatory |
| Household Member | FULL_NAME | Household member to whom the child immunization evidence applies from the drop-down list of household members. Note that the system displays the primary alternative ID of each of the members displayed on the drop-down list. In the US, the primary alternative ID is the social security number (SSN). | No |
|
| Comments |
| Label | Type | Description | Mandatory |
| Comments | COMMENTS | | No |
|
