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 Details

Absent Parent[Full Name]
Start Date[Date]End Date[Date]
SSN[Value]Date Of Birth[Date]
Gender[Male] 

Ethnic Details

Black Or African American[True]White Or Caucasian[True]
Native Alaskan Or American Indian[True]Native Hawaiian Or Pacific Islander[True]
Asian[True] 

Addition Information

Reason For Absence[field-value]Employer[field-value]
Height[field-value]Weight[field-value]
Eye Color[field-value]Hair Color[field-value]
Drivers License Holder[True]Drivers License ID[field-value]
License Issued State[field-value] 

Comments

[Comments]