Customer Contact Center Food Stamp/Family Medicaid Phase II ...

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Call Center FS & FM Phase II PG February 29, 2008 Initial Application • TRAN for Margaret Simmons • Margaret has not transferred any resources. INTERVIEW TRANSFER OF RESOURCES - TRAN TRAN 01 Month 11 06 01 Client Name MARGARET SIMMONS Client ID 777006064 Del Transf Discovery Transferee Resource FMV V Amt V Ind Date Date R'Ship Type Rec'd (MM YY) (MM YY) Reason for Undue Hardship 1st Mth Transfer Ind Rsn NH/Wvr MA (MM YY) Message More 15-lett 24-del TRAN Documentation Requirement • Document specifics of any transfers, include penalty imposed, month begin and month end. PG-31
Call Center FS & FM Phase II PG February 29, 2008 Initial Application DOL Clearinghouse DOL WAGE INQUIRY - WGEI WGEI Next SSN 01 SSN 555 01 4500 Benefit Year Begin Date Sel Employer Name Emplr Num Qtr/Yr Wages Sur REYNOLDS 63251981 3 05 3,859 SIM REYNOLDS 63251981 4 05 3,954 SIM REYNOLDS 63251981 1 06 3,379 SIM REYNOLDS 63251981 2 06 3,285 SIM Qtr/Yr Qtr-Total Qtr/Yr Qtr-Total Qtr/Yr Qtr-Total Qtr/Yr Qtr-Total 3/05 3,859 4/05 3,954 1/06 3,379 2/06 3,285 Tot Wages 14,477 Potential Amount 91 Num of Wks 20 Max Amt Message 13-Bendex 14-SDX1 16-UCBI PG-32
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Customer Contact Center Food Stamp/Family Medicaid Phase II ...

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