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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]

Legal Guardian Expense Details

Household Member[Full Name] 
Fee Amount[Amount]Frequency[Daily]
Start Date[Date]End Date[Date]

Legal Guardian Expense Details

Legal Guardian Participant[Full Name]

Comments

[Comments]