| Name | Description | Type | Additional information |
|---|---|---|---|
| EmployeeNo | string |
None. |
|
| ConsumerNo | string |
None. |
|
| EmployeeConsentProvided | byte |
None. |
|
| EmployeeConsentDate | date |
None. |
|
| EmployeeSignature | string |
None. |
|
| ConsumerConsentProvided | byte |
None. |
|
| ConsumerConsentDate | date |
None. |
|
| ConsumerSignature | string |
None. |
|
| EffectiveDate | date |
None. |
|
| EndDate | date |
None. |
|
| PriorExpirationDate | date |
None. |