CTR075550_Exhibit_F_Monthly_Navigation_Report.pdf
PDF 64 KB Posted
- 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.
View the file
Other files
Show all 19
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
Eviction Prevention
NAVIGATOR REPORT TEMPLATE
Assurance 16
File details come from the government source that posted it. Updated .