Exhibit_D_-_Mainstream_Service_Referral_Log.xlsx

XLSX spreadsheet 61 KB Posted Jul 1, 2023

Attached to: Master Agreement AZ|CTR066289
Contract number: CTR066289
Issued by: Arizona

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Written by GovTribe AI · Sep 30, 2025

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 document appears to be a monthly tracking template for service referrals, designed to record agency interactions, service types, and referral details across multiple months.

The log provides a standardized format for documenting mainstream service referrals, with columns designated for agency name, program, type of service, HMIS number, name of agency, date referred, comments/follow-up, and other potential notes. While the provided excerpt does not contain actual data entries, the template suggests a systematic approach to tracking and managing service referrals within the Arizona Department of Economic Security's operational framework.

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

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

Agency Name:
Program:
Type of Service	HMIS Number:	Name of Agency	Date Referred	Comments/Follow-Up	Other

File details come from the government source that posted it. Updated Sep 30, 2025.