💚 Buttercup Assistant

TAS Re/Grant

Date of First Contact:

Confirm Date of First Contact (whichever comes first):

Added/Checked Financial Request Screen? Checked if application was submitted via MyMSD? Checked document upload date? (if applicable)

Client consented to reapplication being completed on their behalf? Yes No Does the client have Child Support liable costs? Yes No Child Support API consent given? Yes No Address details correct? Yes No Contact details correct? Yes No SWIFTT Accommodation costs: $ Checked if Rent/Board costs include utilities: Yes No Checked if Home Ownership costs have changed: Yes No SWIFTT Disability costs: $ SWIFTT TAS costs: $ FTC paid by IRD correct: Yes No SWIFTT Income is correct: Yes No SWIFTT Assets are correct: Yes No Relationship details are correct: Yes No If allowable costs are updated, has verification been received? Yes No Deficiency: $ TAS rate payable: $ Necessary and reasonable steps discussed? Yes No Read obligations to client, client understands: Yes No Outcome: Select Outcome Regranted from (DD-MM-YYYY) No entitlement Client declined to reapply Not regranted - Further action needed Client has other costs for inclusion: Yes No

BDR & Other Actions

Back Dated Review (BDR) done? Yes No

For what? From Date: To Date: How much? $

Arrears issued? Yes No

How much? $

Debts created? Yes No

How much? $

Other Action

Suspended?

From Date: Reason:

Resumed?

From Date: Reason:

Cancelled?

From Date: Reason:

LSUM: