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

Call-Center Family Medicaid II October 24, 2007
Low Income Medicaid
APEM
‣ This is the Absent Parent Employment Screen for Anthony Mason.
INTERVIEW ABSENT PARENT EMPLOYMENT-APEM APEM A
Month 11 96 01
HOH Name SANDRA LANGFORD Client ID 1005000125
AP Name KENNETH BAKER
Primary Employer Delete Occupation Truck Driver
Name anc Trucking Co Empl Date (MM YY) 05 00
Address Line 1 Line 2
City Macon ST GA Zip_ Phone
Secondary Employer Delete Occupation
Name
Empl Date (MM YY)
Address Line 1 Line 2
City ST Zip Phone
Former Employer Delete Occupation
Name
Empl Date (MM YY)
Address Line 1 Line 2
City ST Zip Phone
Message
15-lett 20-next ap 24-del
‣ press enter.
PG-7