Sign Up - UHMIS: DVSP Coordinated Entry

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Hello,
This form is meant for management to fill out for onboarding new agency staff at Domestic Violence Service Providers (DVSPs) that will need access to the Utah Homeless Management Information System (UHMIS).

The organization should be an active UHMIS organization before signing staff up for this training. If your organization is not a UHMIS participating organization, please contact the UHMIS Lead Agency (HMIS@Utah.gov)

If you have a new staff member that needs access to UHMIS, then please fill out this form. Staff will receive training and instructions sent to their email within three business days.

This training is an introductory course that is geared to brand new users at DVSPs. The training introduces key concepts and data elements that should be entered by DVSPs for UHMIS.

Please feel free to email us if you have any questions or concerns.

Thank you,
UHMIS Lead Agency
HMIS@utah.gov

Your Information

Please fill out information as it appears in UHMIS.

If you are filling this form out so you can take the training, please fill it out with how it should be in UHMIS.

What is your first and last name?

What is your email?

What agency are you requesting access for?

If you are not employed with the agency you are requesting access for, please describe reason for UHMIS access.

What is your Agency Director's Email, UHMIS Security Officer's Email, or Supervisors Email?

Are you making this request for yourself or a staff member?

Myself

Staff member

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