Sample Moment Information:
Name:
Sally Worker
Observation:
4/30/2025 11:15 AM.
Location:
Adams County
Sequence Number:
123
Your Sample Moment Response:
Please respond to this Sample Moment Observation by entering the appropriate information in the boxes shown below. Complete your response by clicking the
Submit Response
button.
** This is not a real sample **
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valcusCase
Program:
valcusProgram
Select a Program
10 Child Protective Services (CPS) Investigations/Intake (Assessment)
20 Child Protective Services (CPS) In-Home Services
30 Training
40 General
50 Foster Care
60 ValidTest
×
Activity:
valcusActivity
Select an Activity
01 Intake
02 Investigations
03 Preparation for and Participation in Judicial Proceedings
04 Family Centered Meetings
05 Transportation (Non-Health Related/Non-Medical)
06 Transportation (Health Related/Medical)
07 Case Planning
08 Case Management (Non–Health Related/Non-Medical)
09 Case Management (Health Related/Medical)
10 Title IV-E Eligibility Determination
11 Medicaid Eligibility and Outreach
12 Food Stamps (SNAP) Eligibility and Outreach
13 Child Support Eligibility and Outreach
14 ABC Child Care Vouchers Eligibility and Outreach
15 FI—Family Independence Eligibility and Outreach
16 Child Protective Services (CPS) Program Training
17 Child Protective Services Administration Training
18 (Title IV-E) Eligibility Training
20 Food Stamp Training
21 Child Support Enforcement Training
22 ABC Child Care Vouchers Training
23 FI—Family Independence Training
24 Non Program Related Training
25 Other Programs
26 Other General and Administrative Activity
27 Leave, Breaks, or Personal Business
28 Lunch
29 Unpaid Leave/Not Scheduled to Work
30 Invalid
40 ValidTest1
41 ValidTest2
42 ValidTest3
50 Not Used
×
Case Number:
valcusCaseNumber
(123456789 123456789 123456789 123456789 123456789 )
Comments:
valcusComments
(Do not include sensitive medical information)
Help/Training Materials:
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Example RMS Site
Example Case-Related RMS Site
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RMTS Web Response Version 4.3