Residents: Employment Started - Notification to HA

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Phone: 864.855.0629 | Fax: 864.855.0864
103 Wallace Drive, Easley, SC 29640
EasleyHousing.org

[{"type":"text","required":true,"label":"Resident First Name","name":"Resident-first-name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Resident Last Name","name":"Resident-last-name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Unit","name":"Unit","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"date","required":true,"label":"Date","name":"date","className":"col-md-6 col-lg-3"},{"type":"text","required":true,"label":"Started Work At","name":"Started-Work-At","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Address Of Work","name":"Address-Of-Work","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Temp Agency Name & Number","name":"Temp-agency-Name-Number","className":"col-lg-4","subtype":"text"},{"type":"date","required":true,"label":"Start Date","name":"Start-Date","className":"col-lg-4"},{"type":"text","required":true,"label":"Number Of Hours working","name":"Number-Of-Hours-working","className":"col-lg-4","subtype":"text"},{"type":"radio-group","required":true,"label":"Are These Hours Weekly or Bi-Weekly?","name":"Are-These-Hours-Weekly-or-Bi-Weekly","className":"col-lg-4","values":[{"label":"Weekly","value":"Weekly"},{"label":"Bi-Weekly","value":"Bi-Weekly"}]},{"type":"text","required":true,"label":"Salary Per Hour","name":"Salary-Per-Hour","className":"col-md-6","subtype":"text"},{"type":"date","required":true,"label":"Date First Check Will Be Received","name":"Date-First-Check-Will-Be-Received","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"If You Have Child Care Expenses, Please Fill Out The Information Below.","className":"d-block"},{"type":"text","label":"Child Care Provider","name":"Child-Care-Provider","className":"col-md-6","subtype":"text"},{"type":"text","label":"Address Of Child Care Provider","name":"Address-of-Child-Care-Provider","className":"col-md-6","subtype":"text"},{"type":"radio-group","label":"Frequency of Childcare Expenses","name":"Frequency-of-Childcare-Expenses","className":"col-lg-4","values":[{"label":"Weekly","value":"Weekly"},{"label":"Bi-Weekly","value":"Bi-Weekly"}]},{"type":"text","label":"Amount Paid","name":"Amount-Paid","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"tel","label":"Phone Number Of Child Care Provider","name":"Phone-Number-Of-Child-Care-Provider","className":"col-lg-4"}]