02.10.2014 Views

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

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

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

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Call <strong>Center</strong> FS & FM <strong>Phase</strong> <strong>II</strong> PG February 29, 2008<br />

Initial Application<br />

SHEL for Margaret Simmons<br />

• Enter the rent verification<br />

• Fast path to DONE for Margaret Simmons<br />

CHANGE SHELTER EXPENSES - SHEL SHEL<br />

Month 11 06 1001 10 05 06<br />

Remarks<br />

Client Name MARGARET SIMMONS Client ID 775006272<br />

Primary Receive Public SUA Number Phone<br />

Heat/Cool LIHEAP Housing/Exc Type Sharing STD<br />

G<br />

HC<br />

Expense Type Amt V Expense Type Amt V<br />

Rent 250.00 LL Mortgage<br />

Taxes<br />

Insurance<br />

Gas<br />

Electric<br />

Telephone<br />

Water<br />

Sewer<br />

Garbage<br />

Disaster Repair<br />

Oil<br />

Other Fuel<br />

Other Housing<br />

Landlord Name MARY HILL Phone 770 987 9876<br />

Address 122 BROAD ST City NEWNAN ST GA Zip 30305<br />

Message<br />

15-lett<br />

PG-75

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!