Santa Cruz County New Agency Request Form

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Please complete the following questions to set up your new agency in HMIS. Once you submit this request, Bitfocus staff will follow up with you regarding any further questions and/or to confirm setup.

Email *

Q1) Requester's Name *

Please list a person whom Bitfocus may contact to gather more information, if it is needed.

Q2) Agency Name *

Q4) Alias

In addition to an agency legal name, you can now record a common name (or alias). Agencies are searchable by both their legal name as well as their alias.

Q5) Address *

Q6) City *

Q7) Zipcode *

Q8) Geocode *

Geographic codes are updated annually and available on the HUD Exchange. Mobile programs (e.g. street outreach) should record the geocode based on the location of their administrative office. Scattered-site housing programs should record the geocode where the majority of beds are located or where most beds are located as of the last inventory update.

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