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

Voluntary Quit Details

Household Member[Full Name]
Employer[Full Name]
Date of Quit[Date]Reason For Quit[field-value]

Description

[field-value]

Comments

[Comments]