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

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Call Center FS & FM Phase II PG February 29, 2008 Initial Application DEM3 for Susan Simmons • Susan Simmons has no IPV penalties. INTERVIEW CLIENT DEMOGRAPHIC 3 - DEM3 DEM3 02 Month 11 06 Client Name SUSAN SIMMONS Client ID 827002292 ------------- IPV ------------- ------------- IPV ------------- ------------- IPV ------------- Pgm Type Ctr Eff Date Pgm Type Ctr Eff Date Pgm Type Ctr Eff Date FS FS FS FS FS FS AF/RF ----------------------------------------------- TANF SANCTIONS ----------------------------------------------- Del Start Date End Date Del Start Date End Date Sanction #1 Sanction #2 99 99 ----------------------------------------------- TANF STRIKES -------------------- --- Lifetime Limit --- Del Reason Compl Date Del Reason Ctr Hrdshp Reas Strike #1 Strike #2 Message 15-lett 23-alau 24-del • Fast Path to DEM1 for Tina or press ENTER PG-17
Call Center FS & FM Phase II PG February 29, 2008 Initial Application DEM1 for Tina Simmons Tina Simmons: • lives at home with her mother INTERVIEW CLIENT DEMOGRAPHIC 1 - DEM1 DEM1 03 Month 11 06 1001 10 05 06 Client Name TINA SIMMONS Suf Client ID 800002353 Alt SSA/SSN SSN Appl SSN1 V More DOB V Sex Race Eth Name Appl For Date SSNs (MM DD YYYY) 555 02 1003 CS 05 15 2000 CS F B N GA Marital Living RSM Min Par Boarder Amt Paid ---- Family Planning ---- Res Status Arrngmt Ad/Ch /LA Num Meals for Meals Referral Date Y N AH Concurr SSI Depriv V Prenatal Care ---------------- Pregnant --------------- FTC Out of St Recip Ind Good Cse Term/Due Term/Due V Num V Code CA FS MA Code Date Exp N N N Message 15-lett 16-crs 23-alau PG-18
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