Case Summary
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Recipient Profile
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Recipient
| first name | |
| last name | |
| nickname | |
| birthdate | |
| ethnicity |
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| marital status |
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| gender |
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| blind |
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| deaf |
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| literate |
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| country | |
| address | |
| apt | |
| details | |
| city | |
| state | |
| zip code | |
| phone number | |
| prefered contact |
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Dependent
| first name | |
| last name | |
| nickname | |
| birthdate | |
| ethnicity |
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| marital status |
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| gender |
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| blind |
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| deaf |
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| literate |
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| country | |
| address | |
| apt | |
| details | |
| city | |
| state | |
| zip code | |
| phone number | |
| prefered contact |
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Case Theme
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| hardship theme | |
| other themes | |
| emergency? |
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| need type |
Full Case Details
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| reason for request |
| medical care |
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| relocation? |
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| details |
| children? | |
| how many? | |
| ages? | |
| abuse? |
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| medical attention |
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| authorities? |
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| details | |
| TRO |
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| legal help? |
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| durration of abuse | |
| counseling? |
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| details | |
| shlter available? |
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| details |
Story Card
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| primary case photo |
File Name
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| story title | |
| summary | |
| summary | |
| total $ needed |
Needs
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Attachments
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Notes and Amendments
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| add this note |
| xx/xx/xxxx |
Case Management
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For Validator
For Verifier
Case Marked as Fraud
This case has been marked as fraud and locked. If you have any
questions contact Encircle's main office.
1In Progress
2Submitted
3Live
4Funded
5Audit
6Closed
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