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 Press tilde (~) to document REMA for ERN1 UPDATE REMARKS - REMA REMA 01 **************************ERN1 History************************************ 10/05/2006 14:35; FICM CASEWORKER B123 123Z FULTON 555-555-5555 EMPLOYER:REYNOLDS CLEANERS____________________________________________ BEGIN DATE: 01/01/04 END DATE: 09/25/06 TIMELY? Y/N [ Y ] REASON FOR TERMINATION:WENT OUT OF BUSINESS _______________________ HOW WAS THE TERMINATION VERIFIED: SEPARATION NOTICE ______________ SHOULD VOLUNTARY QUIT SANCTION BE APPLIED? Y/N [ N ] EXPLAIN: Termination due to layoff not quit ______________________ ACTUAL MONTHS OF 30 + 1/3 TANF: ____________________________________ MAO: ____________________________________ DOL Hit? Y/N [ Y ] DISCREPANCIES? Y/N [ N ] Resolution of discrepancies:__________________________________________________________ _______________________________________________________________________ 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 MESSAGE More 13-bott PG-35
Call Center FS & FM Phase II PG February 29, 2008 Initial Application ERN2 for Margaret Simmons • works approximately 10 hours per week • is paid weekly on Fridays • earns $50 per week • does not have verification of this income with her • press tilde and select number 1 to document remarks on the following page Note: ERN2 is the only screen that you are NOT able to enter a remark behind when you have a red question mark for missing verification. You will need to enter “OT” in the verification field, then tilde to enter your remarks. After documentation is complete, delete the “OT” from ERN2. ALWAYS enter income amount in the “Amt 1” field ONLY. INTERVIEW EARNED INCOME 2 - ERN2 ERN2 01 Month 11 06 01 Client Name MARGARET SIMMONS Client ID 777006064 Employer Name SALLY HUGHES Del Avg Hrs 10 Freq WK Day Week Pd MO Extra Pay Amt 1 V Amt 2 V Amt 3 V Amt 4 V Extra V 50.00 ? --------------------------------------------------- Work Expenses --------------------------------------------------- Type Amount Freq V Type Amount Freq V More Jobs Message 0013 01 0013 REQUIRED FIELDS ARE IDENTIFIED BY "?" 15-lett 16-evnc 23-alau 24-del • Press F9 – Enter “Free Form Documentation” to document that verification has been requested. PG-36
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