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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]

Resource Transfer Evidence Details

Household Member[Full Name]
Recipient Name[Full Name]
Resource Type[field-value]
Item Type[field-value]
Transfer Reason[field-value]
Transfer Date[Date]Fair Market Value[Amount]
Amount Received[Amount]Uncompensated Value[Amount]
Transfer on Behalf of this Participant[True]Attempted To Regain Possession[True]
Legally Binding Document In Place[True] 

Comments

[Comments]