CTR075490_Exhibit_F_Monthly_Navigation_Report.pdf
PDF 64 KB Posted
- Attached to
- Master Agreement AZ|CTR075490
- Contract number
- CTR075490
- Issued by
- Arizona
About this file
This document is an Exhibit F PBI (Performance-Based Indicator) Reporting Template, which appears to be a standardized reporting form for a social services agency. The template is designed to track various service interactions and outcomes across different contact methods (in-person, phone, email/text, kiosk/tablet) and service categories including utility assistance, housing assistance, special needs, food, transportation, and case management.
The template includes detailed navigation sections for various assistance programs such as LIHEAP (Low Income Home Energy Assistance Program), LIHWAP, ERAP (Emergency Rental Assistance Program), SSBG (Social Services Block Grant), TANF (Temporary Assistance for Needy Families), and other social service resources. While the specific template is blank and contains no filled-in data, it is structured to capture metrics on service requests, approvals, denials, self-service interactions, and outcomes across multiple assistance domains, suggesting it is a comprehensive tracking tool for social service agencies to monitor and report on their program performance and client interactions.
View the file
Other files
Show all 17
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Exhibit F
1. Agency Name 2. Report Month 3. Report Year
4. METHOD OF CONTACT 5. IN PERSON 6. PHONE 7. EMAIL/TEXT 8. KIOSK/TABLET TOTAL PBI Reporting Template
9. APPROVED 0
10. DENIED 0
11. UNSERVED 0
12. SELF SERVED 0
13. SERVICE REQUESTED -> 14. HOUSEHOLDS IN CRISIS 15. UTILITY ASSISTANCE 16. HOUSING ASSISTANCE 17. SPECIAL NEEDS 18. FOOD 19. IN-KIND SERVICE / INCIDENTAL 20. TRANSPORTATION 21. CASE MANAGEMENT 22. WEATHERIZATION 23. Energy Education 24. Energy Advocacy 25. Energy Kit 26.Monthly number of applications received
27.Monthly number of HH served
28. Monthly average benefit
PORTAL NAVIGATION (LIHEAP/LIHWAP/ERAP)
SSBG
STCS/TANF
NHN
CSBG
LIHEAP ASSURANCE 16
EVICTION PREVENTION
AGENCY INTERNAL RESOURCES
EXTERNAL REFERRAL
TOTALS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAVIGATOR REPORT TEMPLATE
Assurance 16
Eviction Prevention
File details come from the government source that posted it. Updated .