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Updated On[date-and-time]Received Date[Date]
Effective Date of Change[Date]Change Reason[field-value]
Approval Requested[True]Approval Status[Approved]
Status[Active]Updated By[User Name]

Absent Parent Child Support Details

Child Name[Full Name] 
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]