Updated On[date-and-time]Updated By[User Name] [View History]
Effective Date of Change[Date] 
Approval Requested[True]Approval Status[Approved] [View History]

Absent Parent Child Support Details

Child Name[Full Name] 
Absent Parent Name[field-value] 
Household Member [Full Name] 
Payment Amount[Amount]Payment Frequency[Daily]
Start Date[Date]End Date[Date]
Payment Method[field-value]Payment Due Date[Date]
Last Payment Amount[Amount]Last Payment Date[Date]
Obligated/Court Ordered Amount[Amount]Child Support Type[field-value]
Court Order Number[field-value]Court Order Date[Date]

Comments

[Comments]