This screen allows you to define the parameters of the Benefits Report and display it in a print-ready format.
View child benefits
Record a child' benefit payment
View or print a form, notice, or letter
View or print a standard report
Agency
Select the agency to be included in the report. This field is required.
Payment Begin Date
Enter the first payment date to include in the report. Use the format MM/DD/YYYY. This field is required.
Payment End Date
Enter the last payment date to include in the report. Use the format MM/DD/YYYY. This field is required.
Person ID
To include payments made for a certain individual, locate and select the person.
From Application Date
Enter the "from" application date. This is not a required field. It allows you to refine your search results
To Application Date
Enter the "to" application date. This is not a required field. It allows you to refine your search results.
From Effective Date
Enter the "from" effective date to refine your search results. This is not a required field
To Effective Date
Enter the "to" effective date to refine your search results. This is not a required field.
[RPT 249]