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 VERF-FS for Margaret Simmons • Print the verification checklist for Margaret Simmons by keying PF20. INTERVIEW OUTSTANDING VERIFICATIONS - VERF VERF A Month 11 06 01 HOH Name MARGARET SIMMONS Client ID 777006064 AU ID 674173806 Prog FS Med COA Clnt Clnt Pntr Scrn Field Name Pntr Scrn Field Name 01 ERN2 EARNED INCOME AMT 01 RES1 LIQUID RESOURCE AMT 01 SHEL SHELTER EXPENSE AMT Message 20-verf 21-nite PG-57
Call Center FS & FM Phase II PG February 29, 2008 Initial Application System Generated Form 173 Date: 10 05 06 COUNTY: COUNTY 49 TRAIN Load: 1001 Phone: 555 000 1212 Legal Aid Phone: 404 555 1212 MARGARET SIMMONS P.O. BOX 5680 ATLATNA GA 30303 Client Number: 0028 – MISSING VERIFICATIONS In order for the Department of Family and Children Services to complete its determination of your eligibility for assistance, it is necessary for you to provide verification (proof) of the following items for the people listed below: Program: FS NAME VERIFICATION BY PROVIDING MARGARET SHELTER EXPENSE AMT BILL SIMMONS Needed in order to give deduction EARNED INCOME AMT Need a statement from Sally Hughes These verifications must be received at the County DFCS Office by 10-15-06. If you fail to provide all verification within the specified time period, the County DFCS Office will start action to deny or terminate your TANF, Food Stamp, or Medicaid case. If you have received expedited Food Stamps for one month, you will Not receive a second month of Food Stamps until you provide the Verification requested on this notice. If we have asked for verification of an expense that allows you to Receive a deduction in your TANF, Food Stamps, or Medicaid Eligibility budget, you will receive this deduction only if you Provide proof of the expense as requested. CHECK LANDLORD STATEMENT LETTER RECEIPT OTHER CHECK STUB IRS FORM LETTER OTHER QRF EMPLOYER WAGE FORM IF ASSISTANCE IS NEEDED IN OBTAINING THIS INFORMATION, PLEASE CONTACT YOUR CASEWORKER. Need verification of application for a social security number for Susan in order to include her in the Food Stamp case PG-58
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Customer Contact Center Food Stamp/Family Medicaid Phase II ...

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