CTR075490_Exhibit_F_Monthly_Navigation_Report.pdf

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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.

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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 .