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EasyTrak Next Generation

Organizational Management System 9.99944
iβ—”πŸ’¬πŸ‘€Log Off

Denial & Referral Tracking

Requests Logged
18
Today
Direct Benefit Denials
7
Today
Referrals Provided
11
Today
Agency: Fictional Demo CAA  |  Site: Main Office  |  Staff: Demo Staff A
Client information
1 Client Information Type only these fields
How did the client reach us?

Name, county, and phone are the minimum needed to count the request. Email is optional so a phone-only client is never turned away from the log.

Service requested
2 Service Requested Check all that apply
Outcome
3 Outcome of Request Pick one

Choosing Denied opens section 4. Every other outcome leaves section 4 closed, so nothing extra is asked of staff.

Denial details
4 Denial Details Opens when outcome is Denied
Were direct client benefits denied? *

Direct client benefit means money or goods that would have gone to or for the client β€” utility payment, rent, deposit, repair, supplies. Answer No when the denial was for a service such as a class, screening, or enrollment slot.

Reason for denial * β€” pick one

Fixed list, no β€œOther.” If staff hit a reason that doesn't fit, they tell the committee and the list gets reviewed β€” that keeps the reporting clean.

Referral or resources
5 Referral or Resources Counted separately from denials

A referral is not a denial. A client can be denied assistance and still leave with a referral β€” both get counted, and the monthly report shows each on its own line.

Optional note
Note Optional Β· 120 characters
Prototype v0.3 β€” fictional examples; do not enter real client data Not connected to the database Fields marked * are required