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

Call Center FS/FM SUCCESS PG October 24, 2007
Documentation MACROS/Quick Scripts
UPDATE REMARKS - REMA REMA
XXXXXXXXXXXXXXXXXXXXXXXXXXXXX NEWBORN REPORTED XXXXXXXXXXXXXXXXXX
DATE SGCC WORKED CASE: 11/3/2006 1:59:27 PM
DATE OF REPORT:
REPORT: ( )PHONE ( )MHN ( )PG STAT ( )NEWBORN CERT ( )CONFIRMATION OF BIRTH
CONTACT'S NAME/SOURCE:
NEWBORN'S NAME: DOB: SEX: RACE:
MOTHER'S COAS AT NEWBORN'S BIRTH:
A/R WOULD LIKE NEWBORN ADDED TO ( )F15 ( )MED ( )FS ( )TANF
A/P NAME: IS A/P IN THE HOME:
NEWBORN'S INCOME/RESOURCES:
FAMILY CAP CHILD ( )Y/N ( )N/A
IF NO, WHY NOT:
TYPE OF VERIFICATION:
FORMS SENT( )C173 ( )A130 ( )C809
DATE SENT: DUE DATE:
REMARKS:
ENTER NAME, LOAD AND TEL #
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PM-33