Updated On | [date-and-time] | Updated By | [User Name] [View History] |
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Effective Date of Change | [Date] | ||
Approval Requested | [True] | Approval Status | [Approved] [View History] |
Work Non Participation Details
Household Member | [Full Name] |
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Program | [field-value] |
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Non Participation Reason | [field-value] |
Start Date | [Date] | End Date | [Date] |
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Comments
[Comments] |