| Label | Type | Description | Mandatory |
| Reason for Authorization | EVD_AUTHORIZED_REP_REASON | Authorization reason from the drop-down list of authorization reasons, e.g., "applying for", "applying for and using", "using". An authorized representative has three options when acting on behalf of a household. The representative may apply for the Food Assistance (US) program only, apply for the Food Assistance (US) program and use the food assistance to purchase food for the household, or use the food assistance provided by the Food Assistance (US) program to purchase food for the household only. Your system administrator can add a new authorization reason via the Code Tables page (see "Code Tables" in the Cúram Administration Guide). | Yes |
| Meals Provider for Homeless | CURAM_INDICATOR | If the authorized representative provides meals to the homeless, select the Meals Provider for Homeless selection box. Note that meal providers for the homeless are not allowed to act as authorized representatives for homeless food assistance recipients. | No |
| Authorized Retailer | CURAM_INDICATOR | If the authorized representative is a retailer that accepts food assistance, select the Meals Authorized Retailer selection box. In general, retailers that accept food assistance are not allowed to act as authorized representatives. | No |
| Employee of Division | CURAM_INDICATOR | If the representative is an employee of a state agency, select the Employee of Division selection box. In general, employees of a state agency that certifies and issues food assistance are not allowed to act as authorized representatives. | No |
| Start Date | CURAM_DATE | Date on which the record begins. | No |
| End Date | CURAM_DATE | Date on which the record ends. | No |
|
| Change Details |
| Label | Type | Description | Mandatory |
| Received Date | CURAM_DATE | The date on which the evidence was received. | Yes |
| Change Reason | EVIDENCE_CHANGE_REASON | The change reason helps the reason for evidence correction. | No |
| Effective Date of Change | CURAM_DATE | Date which the evidence becomes effective | No |
|
| Authorized Representative Details |
| Label | Type | Description | Mandatory |
| Representative Participants | FULL_NAME | If the authorized representative is a case participant, you can select the representative from the drop-down list of case participants. For household members who have not yet been recorded as authorized representatives, the system automatically creates an additional case participant role of "authorized representative". Note that the system displays the primary alternative ID of each of the case participants displayed on the drop-down list. In the US, the primary alternative ID is the social security number (SSN). | No |
|
| Comments |
| Label | Type | Description | Mandatory |
| Comments | COMMENTS | | No |
|
