Exhibit_D_-_Mainstream_Service_Referral_Log.xlsx

61 KB Posted

Attached to
Master Agreement AZ|CTR066284
Contract number
CTR066284
Issued by
Arizona

About this file

Written by GovTribe AI ·

The 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 is a template designed to track service referrals, with designated columns for agency name, program, type of service, HMIS number, name of agency, date referred, comments/follow-up, and other potential notes.

While the provided document appears to be an empty template without populated data, it seems intended to document and track referrals for mainstream services within the Arizona Department of Economic Security. The log appears to be a standardized monthly tracking mechanism, with consistent columns repeated across twelve months, suggesting it is part of a systematic approach to monitoring and recording service referrals for economic security programs.

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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 .