Instructions

Please review the header and line items, and make corrections where appropriate.

You can modify both the header and line items

Original Form


Enter your corrections below

{% for pair in task.input.Header %} {% endfor %}
HEADER LINE ORIGINAL FORM HEADER CHANGE REQUIRED CORRECTED FORM HEADER COMMENTS
{{ pair.hdrrow }}



{% for pair in task.input.Pairs %} {% endfor %}
LINE ITEM START DATE END DATE EMPLOYER NAME POSITION HELD REASON FOR LEAVING CHANGE REQUIRED TRUE START DATE TRUE END DATE TRUE EMPLOYER NAME TRUE POSITION HELD TRUE REASON FOR LEAVING COMMENTS
{{ pair.row }}