Exhibit_D_-_Mainstream_Service_Referral_Log.xlsx

61 KB Posted

Attached to
Master Agreement AZ|CTR066287
Contract number
CTR066287
Issued by
Arizona

About this file

Written by GovTribe AI ·

This document is an Exhibit D Mainstream Service Referral Log from the Arizona Department of Economic Security, spanning from July 2023 to June 2024. The log appears to be a template for tracking service referrals, with monthly sections designed to record agency names, programs, types of services, HMIS numbers, referral dates, and follow-up comments.

While the document appears to be a tracking template, no specific service referrals are actually populated in the spreadsheet. The log is structured to capture detailed information about mainstream service referrals but contains no substantive data entries. Each monthly tab is identically formatted with columns for agency information, program details, and referral tracking, suggesting this is a standardized reporting mechanism for documenting service connections within the Arizona Department of Economic Security's mainstream service network.

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July 2023 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

August 2023 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

Sptember 2023 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

October 2023 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

November 2023 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

December 2023 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

January 2024 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

February 2024 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

March 2024 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

April 2024 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

May 2024 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

June 2024 Exhibit D Arizona Department of Economic Security Mainstream Service Referral Log

Agency Name:
Program:
Type of ServiceHMIS Number:Name of AgencyDate ReferredComments/Follow-UpOther

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