howto: Print the Day Care Action Notice

Nine separate actions

Redetermination of eligibility 
Termination: Family certification will end on xx/xx/xxxx.
Termination: Payment to current provider will end on xx/xx/xxxx.
Reinstatement.
Provider chosen is not approved.
Transportation payments: Begin on xx/xx/xxxx and end on xx/xx/xxxx.
Change parent fee (see table below).
Change hours of care.
Other.

One action notice for each child affected.
Worker must sign.
Print out directed.
Can specify number of copies.
Can be folded to insert in #10 window envelope.

Automatically adds and closes action item.
The Action Type is ‘AN’.

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DC3500-6 H Work with Day Care Cases 12/11/98 
CHANGE Child Application 13:09:40 
Program SS State Subsidy 
One.case#.... 10019 Worker.. CDC Appln Number 83 
------------------------------------------------------------------------------ 
Person 240 Robert Dalton Cox 
DOB 5/31/1981 Age 17 DCS ID 01123456789 EIS ID 212345678B 
Eligible for Care.... 8/01/2000 through 7/31/2001 
Need Transp? N Eligible for Transp.. 8/01/2000 through 7/31/2001 
Reason for Care.* EMP Employed 
Disposition ENR Enrolled Date 12/04/2000 
Wait Code.* 
Elig Category...* 009 With regard to income 
Payment Type....* 0 Children Service Case 
Special Needs?... N Spec Needs Type.....* 
Handicapped?..... N #Adults in Work 1st.. 00 
Elig for SCC?.... N Elig for Smart Start? N 
Agency Contact/Phone# WHERE FROM? 

Termination Reason..* Term Date 
Last Changed 12/04/2000 by CDC 
F2=End Appl F8=Lookup* F9=Person F12=Previous F13=Update F14=More 
F17=Members F18=Enroll F20=Notes F21=Copay F22=Voucher F23=Action F24=Zip
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DC3500-6 H Work with Day Care Cases 12/11/98 
CHANGE Child Application 13:09:40 
Program SS State Subsidy 
One.case#.... 10019 Worker.. CDC Appln Number 83 
------------------------------------------------------------------------------ 
Person 240 Robert Dalton Cox 
.............................................................................. 
: CREATE Action Notice Action Date. 12/11/2000 : 
: Action No... : 
: Action......* VC Print Voucher Notice Program..... SS : 
: Vendor/Site.* Payment Type..* 0 Category...* 009 : 
: Care Needed. Mo Tu We Th Fr Sa Su From Until : 
: Day Care Can Begin...: 8/01/2000 Ends: 7/31/2001 Parent/ : 
: Transportation Begins: 8/01/2000 Ends: 7/31/2001 Fee Begins: : 
: Monthly Fee Daily Fee School Age From Until When : 
: Full Day Care Needed... : 
: 3/4 Care When-(B)efore/ : 
: Half Time (A)fter/(S)ummer : 
: Comments: : 
: : 
: Enter F8=Lookup F12=Previous : 
: : 
: : 
:............................................................................:
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DC3500-2 H Work with Day Care Cases 12/11/98 
Applicant 13:08:43 
Provider CDC Child Day Care 
Program SS State Subsidy Appln Number 83 
One.case# 10018 Worker CDC Appln Date 12/04/2000 
------------------------------------------------------------------------------ 
.............................................................................. 
: CREATE Action Notice Action Date. 12/11/2000 : 
: Action No... : 
: Action......* EL Program..... SS : 
: Vendor/Site.* Payment Type..* Category...* : 
: Care Needed. Mo Tu We Th Fr Sa Su From Until : 
: Day Care Can Begin...: 8/01/2000 Ends: 7/31/2001 Parent/ : 
: Transportation Begins: Ends: Fee Begins: : 
: Monthly Fee Daily Fee School Age From Until When : 
: Full Day Care Needed... : 
: 3/4 Care When-(B)efore/ : 
: Half Time (A)fter/(S)ummer : 
: Comments: : 
: : 
: Enter F8=Lookup F12=Previous : 
: : 
: : 
:............................................................................: 
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