Maricopa HMIS Project Documents and Forms

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Following are many of the documents and forms being used in the Maricopa HMIS Implementation project.  They are broken down into 3 sections: Documents Forms Agency Implementation Documents and Forms To download the document, right click on the appropriate link, click on "Save Target As", and specify where you want to save it. To view the document in the browser, click on the appropriate link. DOCUMENTS Description Adobe Acrobat (PDF) Version Date 2006 Goals 2006GoalsVer2.pdf (111KB) 06/14/05 2007 Goals 2007GoalsVer2.pdf (97KB) 06/14/05 Agency Administrator Responsibilities AgencyAdministratorResponsibilities121306.pdf (15KB) 12/13/06 Conditions for Chronic Homelessness Conditions_for_Chronic_Homelessness.pdf (16KB) 05/16/06 Executive Order Establishing Governor's Interagency and Community Council on Homelessness EO_Arizona.pdf (109KB) 06/15/05 HMIS Self-Sufficiency Matrix SelfSufficiencyMatrix081709.pdf (23KB) 08/17/09 HMIS Self-Sufficiency Matrix Diagrams (Color) MatrixDiagramsColor081709.pdf (144KB) 08/17/09 HMIS Self-Sufficiency Matrix Diagrams (Black/White) MatrixDiagramsBW081709.pdf (75KB) 08/17/09 HMIS Self-Sufficiency Matrix Psychometric Results MatrixPsychometricResults.pdf (16KB) 10/14/05 HUD AHAR FAQ AHAR2FAQ.pdf (210KB) 05/16/06 HUD HMIS Data & Technical Standards HUDDataStandards.pdf (2242KB) 07/22/03 HUD HMIS Data & Technical Standards Revised Draft HMISRevisedDataStandardsDraft0709.pdf (360KB) 08/27/09 HUD HMIS Domestic Violence Q&A HMIS_DV_QandA06-09-05.pdf (181KB) 06/09/05 HUD Integration Strategies Paper DataIntegration.pdf (2.1MB) 10/16/03 HUD's 2003 Homeless Data Collection Report to Congress ReporttoCongress2003.pdf (367KB) 05/01/03 Implementing HMIS with HIPAA ImplementingHMISwithHIPAA.pdf (335KB) 06/14/05 List of HUD Services vs AIRS ListofHUDServicesVsAIRS.pdf (29KB) 06/14/05 Maricopa HMIS Data Quality Plan MaricopaHMISProjectDataQualityPlan.pdf (194KB) 01/06/06 Measuring Impacts - An Introduction to Evaluation MeasuringImpacts.pdf (544KB) 06/14/05 Policies & Procedures Manual PP_Manual_Complete.pdf (Complete Manual, 100 pg, 404KB) Revised 03/15/07 PP_Manual_Introduction.pdf (Introduction, 8 pg, 94KB) Revised 10/01/03 PP_Manual_Section_I.pdf (Roles & Responsibilities, 7 pg, 57KB) Revised 06/19/06 PP_Manual_Section_II.pdf (Data/System Integrity, 35 pg, 171KB) Revised 03/15/07 PP_Manual_Section_III.pdf (Privacy & Confidentiality, 5 pg, 43KB) Revised 08/22/05 PP_Manual_Section_IV.pdf (Software Support, 8 pg, 59KB) Revised 10/01/03 PP_Manual_Section_V.pdf (Training Requirements, 2 pg, 20KB) Revised n/a PP_Manual_Section_VI.pdf (Report Generation, 5 pg, 43KB) Revised 10/01/03 PP_Manual_Section_VII.pdf (Software Development, 5 pg, 25KB) Revised None PP_Manual_Section_VIII.pdf (System Hardware, 5 pg, 43KB) Revised 10/01/03 PP_Manual_Section_IX.pdf (Marketing & Growth, 3 pg, 22KB) Revised None PP_Manual_Appendices.pdf (Forms & Appendices, 22 pg, 125KB) Revised 07/21/06 See middle column Request for Admission to HMIS P/P RequestforAdmissiontoHMIS.pdf (45KB) 01/05/04 FORMS Description Microsoft Version Adobe Acrobat (PDF) Version Date Agency Partnership Agreement Form AgencyPartnershipAgreement.doc (82KB) AgencyPartnershipAgreement.pdf (47KB) 02/17/03 Baseline HUD Privacy Notice FAQ N/A BaselineNotice_FAQ_Final.pdf (96KB) 06/15/05 Client Acknowledgement Form ClientAcknowledgementForm1003.doc (25 KB) ClientAcknowledgementForm1003.pdf (18KB) 10/28/03 Code of Ethics Form N/A CodeofEthics.pdf (8KB) 03/10/03 Custom Report Request CustomReportRequest.doc (31KB) CustomReportRequest.pdf (34KB) 11/20/03 HMIS Self-Sufficiency Matrix Data Entry Forms Self_Sufficiency_Matrix_Form081709.xls (91KB) N/A 08/17/09 HUD Data Elements Entry Form with Matrix EntryFormWithMatrix081709.xls N/A 08/17/09 HUD Data Elements Exit Form with Matrix ExitFormWithMatrix081709.xls N/A 08/17/09 HUD Desk Posting HUDPostingHMIS-English.doc (74KB) HUDPostingHMIS-English.pdf (25KB) 06/14/05 HUD Desk Posting (Spanish) HUDPostingHMIS-Spanish.doc (75KB) HUDPostingHMIS-Spanish.pdf (25KB) 06/14/05 Current HUD APR (40118) HUD40118Nov2009.doc (831KB) HUD40118Nov2009.pdf (155KB) 06/27/07 Agency Implementation Forms and Documents Description Microsoft Excel Version Adobe Acrobat (PDF) Version Date Agency Profile Agency_Profile.xls (39KB) N/A 06/14/05 Agency Partnership Agreement N/A AgencyPartnershipAgreement.pdf (47KB) 02/17/03 Baseline HUD Privacy Notice FAQ N/A BaselineNotice_FAQ_Final.pdf (96KB) 06/15/05 Client Acknowledgement Form N/A ClientAcknowledgementForm1003.pdf (18KB) 10/28/03 Code of Ethics N/A CodeofEthics.pdf (8KB) 03/10/03 HUD Data Elements Entry Form with Matrix EntryFormWithMatrix081709.xls N/A 08/17/09 HUD Data Elements Exit Form with Matrix ExitFormWithMatrix081709.xls N/A 08/17/09 HUD Desk Posting N/A HUDPostingHMIS-English.pdf (25KB) 06/14/05 HUD Desk Posting (Spanish) N/A HUDPostingHMIS-Spanish.pdf (25KB) 06/14/05 Maricopa HMIS Data Quality Plan N/A MaricopaHMISProjectDataQualityPlan.pdf (194KB) 01/06/06 Policy Procedure Manual N/A PP_Manual_Complete.pdf (Complete Manual, 100 pg, 404KB) 03/15/07 Program Profile Program_ProfilePro.xls (31KB) N/A 06/14/05 Request for Admission to HMIS P/P N/A RequestforAdmissiontoHMIS.pdf (45KB) 01/05/04 Shelter Profile Shelter_ProfilePro.xls (31KB) N/A 06/14/05 Staff Profile N/A Staff_Profile.pdf (28KB) 06/14/05

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