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HMIS Documents and Forms

Project Documents & Forms

File	Format	Size
HMIS Profiles HMIS profiles for agencies to complete. Includes Agency Profile, Technology Profile, and HMIS Readiness Profile.	Acrobat PDF	88KB
Client Acknowledgement Form Client Acknowledgement of Data Entry form.	Word	23KB
Agency Partnership Agreement Agency Partnership Agreement (between agencies implementing HMIS and Arizona Department of Housing).	Word	100KB
Code of Ethics Code of Ethics form for persons using the Rural Arizona HMIS .	Word	187KB
ServicePoint 4.0 Help Manual Detailed ServicePoint 4.0 help manual provided by Bowman Systems If you'd like to obtain this Help Manual, either login to ServicePoint and go to help or email Don Logue at dlogue@symmetricsolutions.com	Acrobat PDF	2.6MB
Security & Confidentiality Whitepaper A whitepaper discussing the technical & procedural safeguards to provide for the security & confidentiality of client information in HMIS.	Acrobat PDF	55KB
EPEH Intake Form Suggested manual Intake Form for EPEH entry only.	Word	53KB
EPEH Quick Reference Guide Brief quick reference guide for EPEH entry.	Word	1.1MB
Intake Form Suggested manual Intake Form (for use with new HUD Universal and Program Level Data Elements and Self Sufficiency Matrix).	Word	150KB
Exit Form Suggested manual program exit form (for use with new HUD Universal and Program Level Data Elements and Self Sufficiency Matrix).	Word	67KB
Services Form Suggested manual services form.	Word	61KB
Eviction Prevention/Emergency Housing Provider List List of Eviction Prevention & Emergency Housing providers from the Arizona Department of Housing.	Word	59KB

Program Evaluation Documents

File	Format	Size	Date
Arizona Program Evaluation Information Sheet Overview of the Arizona Program Evaluation project	Word	22KB	9/28/04
Arizona Program Evaluation Psychometric Results Psychometric Results from the Program Evaluation pilot	Word	24KB	9/28/04
Self Sufficiency Matrix Training Slides Powerpoint slides from the Arizona Evaluation Project Self Sufficiency Matrix training in Flagstaff on September 21, 2005.	Powerpoint	1.3MB	9/21/05
Self Sufficiency Matrix Explanation Explanation of the Self Sufficiency Matrix.	Word	54KB	9/21/05
Self Sufficiency Matrix Entry Form Manual data entry form for Self Sufficiency Matrix entry.	Word	66KB	9/21/05

Arizona Department of Housing (ADOH) Documents

File	Format	Size	Date
2006 Fair Market Rents FMR for all Arizona counties, effective 10/1/2005.	Word	30KB	10/4/05
List of Eviction Prevention/Emergency Housing Providers The Arizona Department of Housing has released its updated list of Eviction Prevention & Emergency Housing Providers statewide.	Word	59KB	8/30/05
2005 HUD Exhibit 1 The HUD Continuum of Care application for 2006 for the Rural Arizona Continuum of Care.	Acrobat PDF	803KB	11/18/05
Colonias List of Arizona communities designated as colonias.	HTML	21KB	3/10/05

HUD Documents

File	Format	Size	Date
Data Standards Final HUD HMIS Data & Technical Standards	Acrobat PDF	1MB	7/30/04
AHAR FAQ Frequently Asked Questions on HUD Annual Homeless Assessment Report (AHAR)	Acrobat PDF	291KB	10/1/03
AHAR Update 1 Update on the AHAR initiative	Acrobat PDF	113KB	11/5/04
AHAR Update 2 Update on the AHAR initiative	Acrobat PDF	113KB	12/16/04
AHAR Update 3 Update on the AHAR initiative	Acrobat PDF	113KB	3/11/05
AHAR Update 4 Update on the AHAR initiative	Acrobat PDF	59KB	4/7/05
AHAR Update 5 Update on the AHAR initiative	Acrobat PDF	32KB	5/13/05
AHAR Update 6 Update on the AHAR initiative	Acrobat PDF	32KB	6/21/05
DV Clarification Clarification on the HUD Data Standards as it relates to Domestic Violence (DV) shelters.	Acrobat PDF	863KB	11/5/04
DV Questions and Answers Questions and Answers about Domestic Violence (DV) shelter participation in HMIS.	Acrobat PDF	180KB	6/30/05
Enhancing HMIS Data Quality Report Report on improving HMIS data quality.	Acrobat PDF	2.1MB	7/15/05
Make the Most of HMIS Data Report Report on using HMIS data.	Acrobat PDF	2.0MB	8/8/05

Quick Links:

Arizona Domestic Violence Shelters and Safe Houses

Eviction Prevention/Emergency Homeless Agencies

Housing Opportunities for Persons with AIDS