Name

Required
Optional
Conditional

Edits/Business Rules

Reason

Display only

Segment.

Supplement Status

Display only

Supplement application status.

Supplement Type

Display only

Supplement type selected in dropdown.

Submit

Display only

Supplement submission date selected in dropdown.

Response

Display only

Supplement response date selected in dropdown.

Issue

Display only

Supplement issue date selected in dropdown.

Expire

Display only

Permit expiration date.

Supplement

Display only

Supplement and supplement sequence number.

Cycle

Display only

Supplement application cycle number.

Created By

Display only

Application creator name.