A-19 (Appendix) Post-Release Services Referral - Appendix

OMB # 0970-NEW Valid Through MM/DD/YYYY

Post-Release Services (PRS) Referral (Form S-19) 

Appendix – Administrative Actions

NOTE: The information displayed in this document is fake and does not belong to actual people.

Accept Case

Data auto-populated from completed PRS Referral forms in UC Portal. Users may select a single case or multiple cases to accept.

Assign case manager

Users may assign a case manager for a single case or for multiple cases. The Case manager field is a searchable lookup field.

Sex

request extension

The system will generate an automated alert to inform ORR project officers that a request is ready for approval.

Sex

If “Other” is selected, an open text field appears for users to enter additional detail.

Optional “Note” text box appears for each document attached.

transfer case

Sex

Users can automatically apply the same transfer request to multiple family members.

If “Yes” is selected, a searchable lookup field appears for users to select the provider.

If “Child moved” is selected as the reason for transfer, field appears for users to enter the new location.

Change PRS Level

Sex

If “Other” is selected, an open text field appears for users to enter additional detail.

Optional “Note” text box appears for each document attached.

Close Case

Sex

Optional “Note” text box appears for each document attached.

If “Other” is selected, an open text field appears for users to enter additional detail.