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

Call Center Food Stamp Phase II PG October 24, 2007
Adding and Deleting People
UPDATE REMARKS - REMA REMA
XXXXXXXXXXXXXXXXXXXXXXXXX New HH Members Not in AU XXXXXXXXXXXXXXXX
Date SGCC Worked Case: 11/3/2006 2:03:04 PM
Method of Contact ( )Phone ( )FAX ( )Mail ( )Other
Contact's Name/Source:
MEMBERS OF HH NOT IN AU INCLUDE:
NAME RELATIONSHIP AGE
: : :
: : :
: : :
: : :
: : :
CL REPORTS NO OTHER HH MEMBERS. STATES THAT AU P & P SEPARATELY FROM ALL
OTHER HH MEMBERS.
Enter Name, Load and Tel #
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
UPDATE REMARKS - REMA REMA
XXXXXXXXXXXXXXXXXXXXXXXX Removing a Household Member XXXXXXXXXXXXX
Date SGCC Worked Case: 11/3/2006 2:06:44 PM
Method of Contact ( )Phone ( )FAX ( )Mail ( )Other
Contact's Name/Source:
Individual's Name:
Date moved out:
Where did person go:
And reason moved out:
Type of Verification:
Forms Sent( )C173 ( )C178 ( )C809
Sent Date:
Due Date:
Remarks:
Enter Name, Load and Tel #
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
UPDATE REMARKS - REMA REMA
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Management XXXXXXXXXXXXXXXXX
Date SGCC Worked Case: 11/3/2006 1:55:36 PM
Method of Contact ( )Phone ( )FAX ( )Mail ( )Other
AU Name:
Net Income:
Monthly EXPENSES:
MANAGEMENT MET( )Yes( )NO
If NO, Explain Discrepancies:
Type of Verification:
Forms Sent( )C173 ( )C178 ( )809
Sent Date:
Due Date:
Remarks:
Enter Name, Load and Tel #
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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