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

Call Center FS & FM Phase II PG February 29, 2008
Initial Application
• Enter a “Y” under “More Jobs” so that we can enter the terminated
income from the job at Reynolds Cleaners for 10/06.
• Press enter
ERN1 for Margaret Simmons
• was employed at Reynold’s Cleaners, 134 Main Street, College Park, GA,
30309, (770)526-3598
• only has one check from the cleaners which needs to be budgeted. She
received her last check on 10/02/06.
CHANGE EARNED INCOME 1 - ERN1 ERN1 01
Month 10 06 1001 10 05 06 02
Remarks
Client Name MARGARET SIMMONS Client ID 771006042
Do you have any of the following: wages, self employment, commissions/tips,
roomer/boarder income, rent, mortgage payment, sick pay, work program, JTPA,
Job Corps, training allowance, use/sale of personal property, or other income?
Employer Name REYNOLD'S CLEANERS
AJS Employ N
Line 1 134 MAIN ST. Line 2
City COLLEGE PARK ST GA Zip 30309 Phone 770 526 3598
Begin First End Late SON $30+1/3 $30+1/3 $30
Type Date Pay Date Date Rpt Ovrd Ind Cntr End Date End Date
EI 01 01 04 01 09 04 10 02 06 N TANF
LIM
RSM
Num of ABD Stdnt AFDC Student ------JTPA-------
Bordrs Excl Ind Cnt Ind Cnt Excl
Message
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