CTR075550_Exhibit_F_Monthly_Navigation_Report.pdf

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Attached to
Master Agreement AZ|CTR075550
Contract number
CTR075550
Issued by
Arizona

About this file

This document is an Exhibit F Navigator Report Template, which appears to be a standardized reporting form for tracking client service interactions and program navigation across various social service and assistance programs. The template is designed for an unspecified agency to record monthly data related to client contacts, service methods, and program interactions, including portals for LIHEAP (Low Income Home Energy Assistance Program), LIHWAP, ERAP, SSBG, TANF, and other social service programs.

The template provides a comprehensive tracking mechanism for different contact methods (in-person, phone, email/text, kiosk/tablet), client service requests, and program areas such as households in crisis, utility assistance, housing assistance, special needs, food assistance, transportation, and case management. While no specific contract details, pricing, or jurisdictional information are visible, the form is structured to capture granular data on client interactions, service outcomes (approved, denied, unserved, self-served), and referral sources, suggesting it is used for performance monitoring, reporting, and potentially funding allocation purposes across social service programs.

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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

Eviction Prevention

NAVIGATOR REPORT TEMPLATE

Assurance 16

File details come from the government source that posted it. Updated .