CÃÂºram V7 User Interface

New Household Member Evidence Details

* required field

Household Member Details

Received Date

Citizen Status

Veteran Status

Applied for S.S.N.

Migrant Farm Worker

Start Date

End Date

Residency Details

Current State of Residence

[field-value]

Residency Status

Ethnic Details

Black Or African American

White Or Caucasian

Native Alaskan Or American Indian

Native Hawaiian Or Pacific Islander

Asian

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