Check all that apply.
If reason for denial is not included in table below, please add your custom denial reason(s) in the first highlighted row.| APPEAL Set By | Date | REVIEW Set By | Date | Step | Issue | Deficiency Explanation | Application Type | Attachment |
|---|---|---|---|---|---|---|
| {{ reason.appealUpdateByUserInitials }} | {{ reason.appealUpdateDate | date:'MM/dd/yyyy' }} | {{ reason.updateByUserInitials }} | {{ reason.updateDate | date:'MM/dd/yyyy' }} | {{ reason.applicationStep }} | {{ reason.issueName }} | {{ reason.applicationType }} | {{ attachment }} | |
| {{ reason.appealUpdateByUserInitials }} | {{ reason.appealUpdateDate | date:'MM/dd/yyyy' }} | {{ reason.updateByUserInitials }} | {{ reason.updateDate | date:'MM/dd/yyyy' }} | {{ reason.issueName }} | {{1000 - reason.denialReasonText.length}} characters remaining |