STD Claims In Non Payment Status Report
For the period: mm/dd/yyyy through mm/dd/yyyy
Status: DENIED
Name
SSN/Claim Number		 Received Assigned Decision
FRANK JONES
xxx-00-1111 / 00010001		 mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy
Activity: PROOF OF LOSS
Status: NOT COMPLETE
Name
SSN/Claim Number		 Received Assigned Decision
LINDA SMITH
xxx-00-2222 / 00020002		 mm/dd/yyyy    
Activity: NEED EMPLOYEE STATEMENT
FRANK PATERSON
xxx-00-3333 / 00030003		 mm/dd/yyyy    
Activity: NEED EMPLOYER STATEMENT
SUE HOWARD
xxx-00-4444 / 00040004		 mm/dd/yyyy    
Activity: NEED EMPLOYER STATEMENT
JANE NELSON
xxx-00-5555 / 00050005		 mm/dd/yyyy    
Activity: ANTICIPATORY CLAIM