All income and enrollment forms effective for a given claim month

This report will combine all income and enrollment forms that were valid for a selected claim month into one PDF. This is especially helpful for state agency reviews.


This is a site-level report only. 


To generate this report:

  • Click on Reports from the main site dashboard
  • From the report selection dropdown, select "Recordkeeping Reports"
  • Click on the report name "All income and enrollment forms effective for a given claim month"
  • Select the month/year for which you want to generate the report
  • Click the green "Run Report" button
  • Click the hyperlink to download the report

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