Forms

Client Acknowledgement Form

Client Acknowledgement of Data Entry form.

Agency Partnership Agreement

Agency Partnership Agreement (between agencies implementing HMIS and Arizona Department of Housing).

Code of Ethics

Code of Ethics form for persons using the Rural Arizona HMIS .

Intake Form

Suggested manual Intake Form (for use with new HUD Universal and Program Level Data Elements)

Exit Form

Suggested manual program exit form (for use with new HUD Universal and Program Level Data Elements).

Services Form

Suggested manual services form.

Intake Form for HPRP

Suggested manual Intake Form for HPRP only.

Exit Form for HPRP

Suggested manual program exit form for HPRP only.

Self-Sufficiency Matrix Form

Suggested manual form for recording SSM values.

Self-Suffiency Matrix Explanation

Explanations for each value in the SSM domains.

ServicePoint 5 Usage Notes

Notes for using ServicePoint version 5.  Includes explanation of symbols, tips, and common errors.

Data Elements Summary

Summary of HMIS data elements including who each element is specified for, when it should be entered or updated, and other details.

Quick Reference Guide 1 - Client Search and Entry

Quick Reference Guide for ServicePoint version 5 on steps to search for and enter clients.

Quick Reference Guide 2 - Household Entry

Quick Reference Guide for ServicePoint version 5 on steps to create households.

Quick Reference Guide 3 - Program Entry - Individuals

Quick Reference Guide for ServicePoint version 5 on steps to enter individuals into a program.

Quick Reference Guide 4 - Program Entry - Households

Quick Reference Guide for ServicePoint version 5 on steps to enter households (families) into a program.

Demographics Report - Region 1 - FY2011