New Employment Offer Evidence
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Received Date
Change Reason
[code-table-value]
Effective Date of Change
Employment Offer Details
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Household Member
[Full Name]
Date Of Offer
Employment Start Date
Payment Amount
Payment Frequency
[Daily]
Hours Per Week
Average Hourly Yield
Piece Rate Ind
Employment Accepted Ind
Refusal Reason
[code-table-value]
Comments
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