AFMLS TE 1-002 Sample Monthly Status Report.xls
XLS spreadsheet 64 KB Posted
- Solicitation number
- DJJE-11-RFP-0721
About this file
RFI Technical Exhibit 1-002
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Location Info
| TECHNICAL EXHIBIT 1-002 | ||||||||||||
| MONTHLY STATUS REPORT | ||||||||||||
| CLAIMS ADMINISTRATION CONTRACTOR INFORMATION | ||||||||||||
| Contractor Name: | ||||||||||||
| Location Address | Project Manager Contact Information | Billing Questions Point of Contact | ||||||||||
| Contractor CCR ID | Case Name | Street Address | City/State | Zip Code | Name | Telephone No. | Fax No. | Cell Phone No. | Name | Telephone No. | Fax No. | Cell Phone No. |
&LBureau of Alcohol, Tobacco, Firearms and Explosives&RSolicitation No. DJA09S000067
&CTE 1.4-002-&P
Claims Notices Sent by Mail
| TECHNICAL EXHIBIT 1-002 | ||||||
| MONTHLY STATUS REPORT | ||||||
| CLAIMS SENT BY MAIL | ||||||
| Notices Sent by Mail: | ||||||
| Case Name | Total Notices Sent | Returned Undelivered | Remailed | Unable to Locate | Claims Received | |
| Sample Case XYZ | 14,325 | 9 | 3 | 6 | 14,316 | |
| Undelivered Claims: | ||||||
| Case Name | ClaimID | Name | Returned Undelivered | Post Marked | Comment | Re-Sent |
| Sample Case XYZ | A0002746 | Doe, Jane | 7/20/10 | 7/16/10 | Correct Address Located | 7/20/07 |
| Sample Case XYZ | A0004085 | Smith, Jim | 7/23/10 | 7/17/10 | Unable to Locate. Returned from Forwarded address: |
333 Main Street #525 West Hollywood, CA 90033
| Sample Case XYZ | A0001061 | Jones, Sue | 7/23/10 | 7/18/10 | Unable to Locate |
| Sample Case XYZ | A0002059 | Williams, Sally | 7/23/10 | 7/18/10 | Unable to Locate |
Claims Received Summary by Case
| TECHNICAL EXHIBIT 1-002 | |||||||||
| MONTHLY STATUS REPORT | |||||||||
| CLAIMS RECEIVED BY CASE | |||||||||
| Case Name | Total Claims Received | Claim submission complete and under Review | Claim Deficient, Request for Additional Info Sent | Claims Denied | Claims Awarded | Reconsideration Requests | Final Determination made on Reconsideration | Payments Made | |
| Claim Denied on Reconsideration | Claim Awarded on Reconsideration | ||||||||
| Ponzi Too | 14,325 | 14,322 | 3 | 24 | 14,295 | 24 | 22 | 2 | 0 |
| US v. Cheaters Inc. | 18,325 | 18,325 | 0 | 45 | 18,280 | 45 | 45 | 18,280 |
Claims Reviewed Detail
| TECHNICAL EXHIBIT 1-002 | |||||||||||||||
| MONTHLY STATUS REPORT | |||||||||||||||
| CASE STATUS WITH CLAIMANT DETAIL | |||||||||||||||
| Period Beginning: | Period Ending: | ||||||||||||||
| Case Name | Claimant ID | Claimant Tax Identification Number | Last Name | First Name | Middle Name | Claimant Address | City | State | Postal Code or Zip | Country | Phone Number | Claim Amount | Proof of Claim Examined (Y or N) | Pecuniary Loss Amount Determination | Claim Award Amount |
| Sample Case XYZ | A0004085 | 111-11-1111 | Smith | Joe | Adam | 111 Main Street | Anywhere | VA | 22022 | USA | 111-111-1111 | $4,209 | Y | $3,456 | $3,456 |
| Note: This Case status report by Claimant detail is a sample only and does not include variations pertaining to Claimant electronic payment transfer instuctions (e.g. Automated Clearing House form data) or Contact Information for Claimants Legal Representative. |
&LBureau of Alcohol, Tobacco, Firearms and Explosives&RSolicitation No. DJA09S000067
&CTE 1.4-002-&P
Claims Decisions
| TECHNICAL EXHIBIT 1-002 | ||||||
| MONTHLY STATUS REPORT | ||||||
| CLAIMS DECISIONS | ||||||
| ClaimID | Name | Claim Received | COTR Decision Date | Decison | Decison Letter Sent | Approved Amount |
| A0002746 | Doe, Jane | 11/15/10 | 3/14/11 | Denied | 3/16/11 | $0.00 |
| A0004085 | Smith, Jim | 11/21/10 | 3/14/11 | Approved | 3/16/11 | $403.03 |
File details come from the government source that posted it. Updated .