Maricopa HMIS Project - Documents and Forms

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, and Agency Implementation Documents and Forms. To download the document, right click on the appropriate link and then 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	SelfSufficiencyMatrix071105.pdf (40KB)	07/11/05
HMIS Self-Sufficiency Matrix Diagrams (Color)	MatrixDiagrams.pdf (94KB)	09/30/05
HMIS Self-Sufficiency Matrix Diagrams (Black/White)	MatrixDiagramsBW.pdf (75KB)	09/30/05
HMIS Self-Sufficiency Matrix Psychometric Results	MatrixPsychometricResults.pdf (16KB)	10/14/05
HMIS Self-Sufficiency Matrix and Data Standards Training	DataStandardsTraining092005.pdf (326KB)	09/30/05
HUD AHAR FAQ	AHAR2FAQ.pdf (210KB)	05/16/06
HUD HMIS Data & Technical Standards	HUDDataStandards.pdf (2242KB)	07/22/03
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) PP_Manual_Introduction.pdf (Introduction, 8 pg, 94KB) PP_Manual_Section_I.pdf (Roles & Responsibilities, 7 pg, 57KB) PP_Manual_Section_II.pdf (Data/System Integrity, 35 pg, 171KB) PP_Manual_Section_III.pdf (Privacy & Confidentiality, 5 pg, 43KB) PP_Manual_Section_IV.pdf (Software Support, 8 pg, 59KB) PP_Manual_Section_V.pdf (Training Requirements, 2 pg, 20KB) PP_Manual_Section_VI.pdf (Report Generation, 5 pg, 43KB) PP_Manual_Section_VII.pdf (Software Development, 5 pg, 25KB) PP_Manual_Section_VIII.pdf (System Hardware, 5 pg, 43KB) PP_Manual_Section_IX.pdf (Marketing & Growth, 3 pg, 22KB) PP_Manual_Appendices.pdf (Forms & Appendices, 22 pg, 125KB)	03/15/07 10/01/03 06/19/06 03/15/07 08/22/05 10/01/03 None 10/01/03 None 10/01/03 None 07/21/06
Request for Admission to HMIS P/P	RequestforAdmissiontoHMIS.pdf (45KB)	01/05/04

FORMS
Description	Microsoft Word 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 (96KB0	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_Form.xls (67KB)	N/A	10/14/05
HUD Data Elements Entry Form with Matrix	EntryFormWithMatrix.xls	N/A	06/27/07
HUD Data Elements Exit Form with Matrix	ExitFormWithMatrix.xls	N/A	06/27/07
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 (96KB0	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	EntryFormWithMatrix.xls	N/A	06/27/07
HUD Data Elements Exit Form with Matrix	ExitFormWithMatrix.xls	N/A	06/27/07
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