Updated On | [date-and-time] | Updated By | [User Name] [View History] |
---|---|---|---|
Effective Date of Change | [Date] | ||
Approval Requested | [True] | Approval Status | [Approved] [View History] |
Spousal Cooperation Details
Household Member | [Full Name] |
---|
Spouse Refuse to Co-Operate | [True] | ||
---|---|---|---|
Non Compliance Reason | [field-value] |
Assign Rights | [True] | ||
---|---|---|---|
Start Date | [Date] | End Date | [Date] |
Spouse Details
Spouse | [Full Name] |
---|
Comments
[Comments] |