Exhibit_H_-_Monthly_CCSD_Community_Action_Inquire_Tracking_Sheet.xlsx

XLSX spreadsheet 19 KB Posted

Attached to
Master Agreement AZ|CTR075550
Contract number
CTR075550
Issued by
Arizona

About this file

This document is an official tracking sheet (Exhibit H) from the Arizona Department of Economic Security, specifically for the CCSD Community Action Inquiry Tracking process. The tracking sheet is designed to document and record various service inquiries and their outcomes across different interaction types including in-person, phone, email, and agency portal channels.

The tracking sheet captures detailed service request information across multiple categories such as housing, utility assistance, case management, and other support services like food boxes and gas cards. The document provides a structured template for recording inquiry types, their sources, and outcomes, including instances of service denial or withdrawal. While the specific monetary values or contract amounts are not evident in this document, it appears to be an administrative tool for monitoring and reporting community action service interactions and their disposition.

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Text version

SERVICES REQUESTED SHEET

Exhibit H
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 H
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 .