Free Form 02AG021E (SUOA-S-54-A) - Oklahoma


File Size: 472.6 kB
Pages: 3
Date: November 12, 2008
File Format: PDF
State: Oklahoma
Category: Court Forms - State
Author: Planning Research and Statistics (405) 521-3552
Word Count: 526 Words, 2,645 Characters
Page Size: 612 x 1008 pts
URL

http://www.okdhs.org/NR/rdonlyres/3ADF4761-A666-406D-8807-0577F18FE3D6/0/02AG021E.pdf

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Preview Form 02AG021E (SUOA-S-54-A)
*02AG021E-001*
OKLAHOMA DEPARTMENT OF HUMAN SERVICES

Area Agency On Aging (AAA) Quarterly Report - A
Listed below are the Title III service categories for the National Aging Program Information System (NAPIS) report. Complete below by providing the total units of service (UoS) and unduplicated persons served (UPS) annual goals set and approved by the AAA, as well as the total UoS and UPS accomplished through the quarter. Grandparents and other relatives raising children is abbreviated GRRC. AAA name Total UoS annual goal
0
0

Service categories Personal care Homemaker Chore Home delivered meals Adult day care/health Case management Congregate meals Nutrition counseling Assisted transportation Transportation Legal assistance Nutrition education

1st qtr goal

UoS thru 1st qtr
0
0

2nd qtr goal

UoS thru 2nd qtr
0
0

3rd qtr goal

UoS thru 3rd qtr

4th qtr goal

UoS thru 4th qtr

Total UPS annual goal

UPS thru 1st qtr

UPS thru 2nd qtr

UPS thru 3rd qtr

UPS thru 4th qtr

0
0

0 0 0

0 0 0
0

0 0 0

0 0 0

0
0 0 0

0
0 0 0

0
0 0 0

0 0 0

0
0 0

0
0 0

0
0 0

0
0 0

Issued 11-10-2006

02AG021E (SUOA-S-54-A)

Page 1 of 3

02AG021E (SUOA-S-54-A) AAA name Total UoS annual goal 1st qtr goal
0
0 0

Area Agency On Aging (AAA) Quarterly Report ­ A

Service categories Information and assistance Outreach Advocacy/representation Education/training Education/information and assistance Education/outreach Health promotion Medication management Home repair Coordination of services Information about services Information about services ­ GRRC Assistance with access to services

UoS thru 1st qtr
0
0 0

2nd qtr goal

UoS thru 2nd qtr
0
0 0

3rd qtr goal

UoS thru 3rd qtr
0
0 0

4th qtr goal

UoS thru 4th qtr

Total UPS annual goal

UPS thru 1st qtr

UPS thru 2nd qtr

UPS thru 3rd qtr

UPS thru 4th qtr

0

0

0

0

0
0 0

0
0 0

0
0 0

0
0 0
0

0

0

0
0

0
0 0
0

0
0 0
0

0
0 0
0

0 0
0

0

0

0

0

Page 2 of 3

Issued 11-10-2006

Area Agency on Aging (AAA) Quarterly Report - A

02AG021E (SUOA-S-54-A)

AAA name Total UoS annual goal
0
0 0

Service categories Assistance with access to services ­ GRRC Counseling Counseling - GRRC Support groups Support groups GRRC Training Training - GRRC Respite Respite - GRRC Supplemental services Supplemental services - GRRC

1st qtr goal

UoS thru 1st qtr

2nd qtr goal
0
0 0

UoS thru 2nd qtr
0

3rd qtr goal

UoS thru 3rd qtr
0
0 0

4th qtr goal

UoS thru 4th qtr

Total UPS annual goal

UPS thru 1st qtr

UPS thru 2nd qtr

UPS thru 3rd qtr

UPS thru 4th qtr

0
0

0

0

0

0

0
0 0

0
0 0

0
0 0

0
0 0

0

0

0

0

0
0

0
0

0
0

0
0

0

0

0

0

Issued 11-10-2006

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