CÃÂºram V7 User Interface

New Deprivation Evidence

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* required field

Received Date

Deprivation Details

Participant

Deprivation Reason

Start Date

End Date

Parent Details

If the parent is a case participant, please select from below.

Parent Participant

If the parent is not a case participant but is registered on the system, please select from below.

Parent

If the parent is not registered on the system, complete the parent details below.

First Name

Surname

Phone Area Code

Phone Number

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