<?xml version="1.0" encoding="UTF-8"?><?mso-infoPathSolution productVersion="11.0.6357" PIVersion="1.0.0.0" href="/Interview%20Forms/Forms/template.xsn" name="urn:schemas-microsoft-com:office:infopath:Interview-Forms:-myXSD-2005-06-15T14-15-40" solutionVersion="1.0.0.10" ?><?mso-application progid="InfoPath.Document"?><my:myFields xmlns:my="http://schemas.microsoft.com/office/infopath/2003/myXSD/2005-06-15T14:15:40" xml:lang="en-us"><my:Case><my:OriginationDate>2005-04-07</my:OriginationDate><my:BackgroundHistory></my:BackgroundHistory><my:CaseDescription>Denise was injured on the job in April of 2005 and is trying to move from her work's short-term disability to government disability.</my:CaseDescription><my:Children><my:Name></my:Name><my:Birthday xsi:nil="true" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"></my:Birthday><my:SpecialNeeds></my:SpecialNeeds></my:Children><my:CompletionDate>2005-06-16</my:CompletionDate><my:Notes>Has been approved for government disability</my:Notes><my:ClientName>Denise Smith</my:ClientName><my:MaritalStatus>Single</my:MaritalStatus><my:EducationLevel>Bachelors Degree</my:EducationLevel><my:Job>Disabled</my:Job><my:Status>Open</my:Status><my:NextSteps>Close out case</my:NextSteps><my:Priority>High</my:Priority><my:JobSkills>Typing</my:JobSkills><my:JobSkills>Phone Skills</my:JobSkills><my:JobSkills>Basic computer skills</my:JobSkills><my:ProgramsAndServices>Short-term disability through work</my:ProgramsAndServices><my:Gender></my:Gender><my:CaseNumber>62543</my:CaseNumber></my:Case></my:myFields>