| 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] |
Criminal History Details
| Household Member | [Full Name] |
|---|
| Conviction Type | [field-value] | Conviction Date | [Date] |
|---|---|---|---|
| Parole Start Date | [Date] | Parole End Date | [Date] |
| Placement On Probation Parole | [True] | Parole Violation | [True] |
| Fleeing Felon | [True] |
Comments
| [Comments] |