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

Minor Parent Non Residency Details

Household Member[Full Name] 
Reason[field-value] 
Date of Non Residence[Date]End Date[Date]
Description[field-value] 

Comments

[Comments]