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Manual Claim Information Form (Sponsor Version)

This report provides a summary of site information and a list of
children with ID numbers to be used in completing manual claim forms.

To Run the Report

  • Login as a Sponsor User.
  • Click on the green tab for Reports.
  • On the report category selection screen, click on Claims Reports.
  • Click on the hyperlink titled Manual Claim Information Form. This will take you to the screen to choose your report options.
  • Select the Monitor(s)
    • Or leave blank if you want all sites
  • Select the sites or select all.
  • Click the green Generate File button to generate a hyperlink.
  • Click on the Download Report hyperlink to download the report as a PDF.


Download Sample Report >

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