EXHIBIT C_RRH & HP PARTICIPANT ROSTER.PDF
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Exhibit L Arizona Department of Economic Security ESG Rapid Re-housing Participant Roster Contract Year: July 2023 - June 2024 Please keep a monthly list of all RRH participant's for each program year. Be sure to update information accordingly. Amount of Rent Head of Household Date Date Enrolled/Entered Move in Rent and Utility Monthly Contract Security Deposit # of Months Rental Paid by Monthly Follow-Up HMIS ID# Household Type Referred into HMIS Date Arrears Paid Lease/Rent Amount Paid Amount Paid Assistance Provided Participant Income Exit Date Date Describe Follow-Up Provided Exhibit C Arizona Department of Economic Security ESG Homeless Prevention Participant Roster Contract Year: July 2023 - June 2024 Please keep a monthly list of all HP clients for each program year. Be sure to update information accordingly. Amount of Rent Head of Household Date Date Enrolled/Entered Rental and Utility Monthly Contract Security Deposit # of Months Rental Paid by Monthly Follow-Up Describe Follow-Up HMIS ID# Household Type Referred into HMIS Arrears Paid Lease/Rent Amount Paid Amount Paid Assistance Provided Participant Income Exit Date Date Provided