_pages/claims/show.html
---
title: Claim #123456
---
{% include head.html %}
<body class="no-js layout-claims-show">
<a class="a-skip-to-main" href="#main">Skip to main content</a>
{% include site-header.html %}
<main role="main" id="main">
<div class="wrapper">
<section class="claim page">
<h1>Claim #123456</h1>
<section>
<h1>Claim information</h1>
<dl>
<dt>Reason for claim</dt>
<dd>Bond with a newborn or newly adopted child.</dd>
<dt>Claim start date</dt>
<dd>09/29/2017</dd>
</dl>
</section>
<section>
<h1>Person claiming benefits</h1>
<dl>
<dt>Name</dt>
<dd>
<dl>
<dt>First</dt>
<dd>Jonathan</dd>
<dt>Middle</dt>
<dd>Dalton</dd>
<dt>Last</dt>
<dd>Wilson</dd>
</dl>
</dd>
<dt>Mailing address</dt>
<dd>
<dl>
<dt>Street address</dt>
<dd>123 Market St.</dd>
<dt>City</dt>
<dd>Springfield</dd>
<dt>State</dt>
<dd>ST</dd>
<dt>Postal code</dt>
<dd>20210</dd>
</dl>
</dd>
</dl>
</section>
</section>
<aside>
<h1>Actions</h1>
<a href="#" class="button">Download</a>
<h1>Payment</h1>
<p>Benefits will be paid via <strong>direct deposit</strong> to your bank account ending in <strong>1049</strong>. The next payment is <time>September 29th, 2017</time>.
<h1>Timeline</h1>
<dl>
<dt>12/3/2016</dt>
<dd>Application submitted</dd>
<dd>Verification code: 012439</dd>
<dt>12/7/2016</dt>
<dd>Supplemental information submitted by healthcare provider</dd>
<dt>12/21/2016</dt>
<dd>Application processed by state</dd>
</dl>
</aside>
</div>
</main>
{% include site-footer.html %}
</body>