This screen allows you to display a Help Me Grow Referral letter in a print-ready format. Information entered on this screen is used in the generated letter.
View or print a form, notice, or letter
View or print a standard report
Child
Select the child for whom you’re printing the letter. The list displays all children who are case members. This field is required.
HMG Coordinator Name
Enter the name of the Coordinator for the Help Me Grow program to which you will send this letter. This field is required.
County Help Me Grow Agency Name
Enter the name of the Help Me Grow agency to which you will send this letter. This field is required.
Street
Enter the name of the street where the receiving agency is located. This field is required.
City
Enter the name of the city where the receiving agency is located. This field is required.
State
Select the state where the receiving agency is located. This field is required.
Zip
Enter the receiving agency's zip code. You can enter both 5-digit and zip+4 zip codes in this field. This field is required.
[RPT 020]