HMIS Initial Security Audit Checklist

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Using this Security Audit Checklist document, your agency must certify that it will adhere to the HMIS Privacy & Security Plan or provide a plan for remediation of non-compliant systems, including milestones to demonstrate elimination of the shortfall over time.

Please communicate any security questions, requests, or security breaches to the HMIS Administrator. Please note you will be required to complete a Security Audit Checklist on an annual basis.

Submission of the Security Audit Checklist indicates that the agency understands the purpose of this audit and vouches for its results.

Email *

Agency Name *

Name of Partner Security Officer *

Contact Information for the Partner Security Officer *

Name of Staff Member Completing the Checklist, if different than the Partner Security Officer *

I understand that my Agency will need complete an Annual Security Audit, too *

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