You’re offline. This is a read only version of the page.
Skip to main content
Claim Management System
Toggle navigation
Test
Home
Claim Information
General
Fund Charged
—
Clear lookup field
Launch lookup modal
Lookup records
×
Close
We're sorry, an error has occurred.
Search Results
Choose one record and click Select to continue
Select
Name
. sort descending
Created On
. sort descending
General Fund (G-Fund)
11/22/2023 5:28 PM
Designated Fund (D-Fund)
11/22/2023 5:29 PM
There are no records to display.
You don't have permissions to view these records.
Error completing request.
Loading...
Error
×
Close
We're sorry, an error has occurred.
Submission Date Time
*
Remark
*
Total Claim Amount
—
Claim Items
Total Amount: 0
Claim Subject
Account Charged
Claim Amount
Date
Remarks
Submit
View Claim
Add Claim Item
Line No*
Account Charged
3456789
712345678
Claim Amount
Remarks
Add Attachment:
Add
Cancel