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

Call Center FS & FM Phase II PG February 29, 2008
Initial Application
INTERVIEW UNEARNED INCOME - UINC UINC 01
Month 11 06 01
Client Name MARGARET SIMMONS Client ID 777006064
Do you have any of the following: RSDI, alimony, direct child support,
contributions, VA, workers compensation, unemployment, sick/disability benfits,
pension, railroad retirement, any other retirement, rent, interest, annuities,
dividends, educational income, or striker benefits?
Type Del Freq Claim Number Ded Ded Amt V Extra Pay
Date Rcvd Amount V Date Rcvd Amount V Date Rcvd Amount V
Client Potentially Elig For Other Benefits?
More
Appl Type Stat Date Appl Type Stat Date
Message 1968 1965 5107
1968 NO SDX DATA AVAILABLE
15-lett 16-uvnc 23-alau 24-del
UINC Documentation Requirement
• Date payments will begin and/or terminate
• The source and expected duration of any contributions
• Reason net instead of gross is used
• Mathematical computations of monthly unearned income
• Financial aid for students
• Reason for any changes to the auto update
• The name and relationship of individuals receiving RSDI on someone
else’s account
• The reason any fluctuating income is not considered representative
• Details of application for other benefits
• The results of UCB/SDX/BENDEX automatic matches
• The resolution of any clearinghouse discrepancies
PG-41