1.0 Overview Users are able to add commonly used forms to the RRR packet to encourage households to submit verification of their circumstances at the same time that they return their RRR packets. These forms are listed on the View or Edit page. To allow for users to add forms as easily as possible, there are two pages that allow access to the View or Edit page: View RRR Detail Listing (RRR) Case Wrap Up (Interactive Interview) 1.1 View RRR Detail Listing The Checklist button is enabled when a user highlights a row under the Search Results, and the row that is highlighted has an RRR Status of Initiated, Pending, or Generated. Note: Keep in mind that if the RRR is in Generated Status, the RRR packet has already been mailed and the form would be sent separate. Page 1 of 5
1.2 Case Wrap Up The button is only enabled if the HLPG that is highlighted has an upcoming RRR Month and the RRR is not in Started Status. For example, Expedited Food Assistance (FA) never has an RRR Month; therefore, if Expedited FA is highlighted, the button is disabled. If the RRR is in Generated status (RRR packet already sent), then the RRR packet will not be sent again. Only the forms will be sent out. 2.0 View or Edit The forms listed on the View or Edit page are displayed based on the HLPG selected. Whether the user is accessing this page through the View RRR Detail Listing page or the Case Wrap Up page, a HLPG must be highlighted. The View or Edit page has two tabs from which forms can be selected. They are discussed below. 2.1 Individual-Level Forms Tab This tab shows a list of all individuals on the case and all individual-level verifications for that HLPG. To add a form to the RRR Packet, highlight the individual s name and click the Page 2 of 5
checkbox next to the form name, and click the Add button. This will add the form to the Selected Forms column. 2.2 Case-Level Forms Tab This tab displays all Available and Selected case-level forms. The forms listed in the Available column are the forms based on the HLPG selected before the user navigates to the View or Edit page. To add the form to the RRR Packet, click the checkbox next to the available form and select the Add button. This will add the form to the Selected Forms column. 3.0 Forms Available for Selection On the View or Edit page is a list of forms that can be sent out with the RRR Packet. There are two categories of forms: Individual Level and Household Level. 3.1 Individual-Level Forms Form Description Voluntary Waiver of 10 Day Notice Letter to SSI applicant re must appeal SSI denial Letter requiring application for SSA/Medicare benefits Letter Almost 62 years old - apply for SSA Program Area, MAGI, Non-MAGI Page 3 of 5
DDS Release 1 Authorization to Release PHI Consent for Release of Alcohol or Drug Treatment Information Common-Law Declaration Request for verification of SSN Verification of Living Arrangement Ownership Declaration Form Verification of Immunization Information Verification of Employment and Wages Verification of Self-Employment Verification of Federal Pension Verification of Financial Aid & Class Enrollment Verification of Gift/Loan Verification of Income Verification of Assets Group Living Arrangement Information Verification of Investments Verification of Liquid Resources Verification of student enrollment Verification of Veteran's Benefits Verification of Other Pension Verification of PERA Pension Verification of Pregnancy Verification of Railroad Pension Affidavit of Intent - Residence Agreement not to Sponsor Colorado Works Disability Accommodation Form Colorado Works Participant Assessment Emp 1st/Co Workfare enrollment form FS JS Work Registration - Rights & Resp Medical Initial Exam Medical Re-Examination State Social Factor Report Client Health Insurance (TPL) Information Colorado Works Disability Accommodation Form, MAGI, CHP+, Non-MAGI AM, MAGI, CHP+, Non-MAGI,,, MAGI, CHP+,,,, Non-MAGI but MAGI, CHP+, but MAGI, CHP+ but MAGI, CHP+,,,,, MAGI, CHP+, Non- MAGI,,, MAGI, CHP+, Non-MAGI MAGI, CHP+, Non-MAGI 3.2 Case Level Forms Below is a list of all of the Case Level Forms available; it lists the Form Description and the Program Area that the form will be available for. Page 4 of 5
Form Description Manual Food Stamp Change Report Form Verification of Living Arrangement Medicaid Change Report Form Annuity Letter Household Composition Program Area, MAGI, CHP+, Non-MAGI Non-MAGI Page 5 of 5