Exhibit_G_-_Monthly_CCSD_Community_Action_Inquire_Tracking_Sheet.xlsx

XLSX spreadsheet 18 KB Posted

Attached to
Master Agreement AZ|CTR075530
Contract number
CTR075530
Issued by
Arizona

About this file

The document is an Arizona Department of Economic Security (DES) Community Action Inquiry Tracking Sheet (Exhibit G), designed as a standardized reporting template for tracking community service inquiries. The tracking sheet is specifically focused on CCSD (likely Child and Community Services Division) and appears to be a monthly reporting instrument for documenting service requests and outcomes across different engagement channels.

The tracking sheet captures detailed service inquiry data across multiple dimensions, including contact methods (in-person, phone, email, agency portal) and service categories such as housing, utility assistance, case management, and miscellaneous support like food boxes or gas cards. The document provides a structured format for agencies to record the number of household inquiries, their types of service requests, and the ultimate outcome of those inquiries (approved, denied, or withdrawn). While specific pricing or contract terms are not evident in this exhibit, the document serves as a critical monitoring and reporting tool for tracking community service interactions and resource allocation.

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Text version

SERVICES REQUESTED SHEET

Exhibit G
Arizona Department of Economic Security
CCSD COMMUNITY ACTION INQUIRY TRACKING SHEET
DATEIN PERSONPHONEEMAILHOUSINGUTILITYCASE MGMENTOTHERDeniedWithdrawn

DCAD COMMUNITY ACTION INQUIRY TRACKING SHEET

SERVICES REQUESTED SHEET (rev.

Exhibit G
Arizona Department of Economic Security

CCSD COMMUNITY ACTION INQUIRY TRACKING SHEET

Instructions: List the number of households inquiries.

Agency Name:
Month/Year:
INQUIRYTYPEOUTCOME
IN PERSONPHONEEMAILAGENCY PORTALHOUSINGUTILITYCASE MANAGEMENTOTHER
(i.e., food boxes, gas card, etc.)DENIALWITHDRAWN

DCAD COMMUNITY ACTION INQUIRY TRACKING SHEET

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