MoHMIS User Access Request

This form may be completed solely by a designated authorized representative of the agency. Once this form is submitted, an ICA representative will review the request. The request will be reviewed:

to ensure it has been submitted by a designated authorized representative,
to ensure that the form appears to have been properly completed,
to determine whether an HMIS license is available (if an additional user is being requested), and
to ensure any other requirements or expectations that may exist have been met.

Submission of this form does not guarantee access to the MoHMIS will be granted, and anyone who will have access to the system must complete the proper training prior to being granted access. Information about the training process is available in the HMIS User Access Policies and Procedures guide. If you have any questions, please contact the helpdesk before proceeding.

Agency*

Type of user access request

Which of the following would you like to do?

Add a new user: Select this option if you would like to add a user at your agency who is not replacing a current user at your agency.
Remove a current user: Select this option if you would like to remove a user at your agency and there is no one replacing the user at this time.
Replace a current user: Select this option if you would like to replace a current user with a new user.
Modify a current user: Select this option if you would like to modify a current user's access rights.

Note: For the purpose of this form, a "current user" is someone who has access to the Missouri HMIS under the agency selected at the time this form is submitted.

Remove/Replace User's Information

Name of user being removed/replaced*

First Name

Last Name

When should this user's access be removed?*

Immediately A specific date

When should this user's access be removed?*

Immediately When the new user gains access to the system A specific date When the new user gains access or a specific date (whichever comes first)

What is the specific date on which this user's access should be removed?*

New User's Information

Name of New User*

First Name

Last Name

Work Email Address for New User*

Confirm Work Email Address for New User *

This email address will be used for all training and HMIS-related communication.

Work Phone Number for New User*

Please provide direct number or extension, if available.

What is the primary reason that this individual needs access to the Missouri HMIS?*

Data entry/modification Report running

Which type(s) of reports will this user run?*

Administrative and/or supervisory Financial, grants, and/or billing reports

Select all that apply.

Please explain the reason for this request for a new user.*

Examples include: replacing a former user, an additional user needed for level of data entry required, program growth, new program, meet new grant/funder requirements, monitoring/reporting only

Modified User's Information

Name of User to Modify*

First Name

Last Name

Work Email Address for User to Modify*

Confirm Work Email Address for User to Modify *

This email address will be used for all training and HMIS-related communication.

What type of modification is needed for this user?

Add Projects/Access Rights: Select this option if you would like any projects you select below added to this user's current rights. This is frequently used when a user's duties are expanding to include additional projects.
Override Projects/Access Rights: Select this option if you would like to have this user have access only to the projects you select below. This is most commonly used when a user is changing roles/departments within an agency.

Balance of State Coordinated Entry

Documentation Requirements

In the project selection area above, you indicated that this user needs to have access to the BoS Coordinated Entry system within ServicePoint. Per rules set forward by the Balance of State Coordinated Entry committee, for a user to have access to a MO BoS CoC CES Access Point, the current CES Memorandum of Understanding (MoU) for your agency and the user's BoS CES Training Certificate must be uploaded. Please use the "choose file" buttons to the right to upload the documents.

Note: The portal will accept only pdf, jpg, jpeg, gif, png, bmp, tif, and tiff file formats.

BoS CES Memorandum of Understanding*

No File Chosen

File uploads may not work on some mobile devices.

BoS CES Training Certificate*

No File Chosen

File uploads may not work on some mobile devices.

STJ Coordinated Entry

Documentation Requirements

In the project selection area above, you indicated that this user needs to have access to the STJ Coordinated Entry System within ServicePoint. Per rules set forward by the St. Joseph Continuum of Care, the current STJ CoC CES Memorandum of Understanding (MoU) for your agency AND the user's STJ CES Training Certificate must be uploaded with this request. Please use the "choose file" button below to upload these documents.

Note: The portal will accept only pdf, jpg, jpeg, gif, png, bmp, tif, and tiff file formats.

STJ CoC CES Memorandum of Understanding*

No File Chosen

File uploads may not work on some mobile devices.

STJ CES Training Certificate*

No File Chosen

File uploads may not work on some mobile devices.

BusinessObjects licensure

BusinessObjects Need-to-Know

A BusinessObjects License allows users to run "advanced" reports in the HMIS. The majority of reports within the HMIS are "advanced," and any users who will be responsible for any of the following will likely need a BusinessObjects license:

Running billing reports for submission to funders
Generating reports related to coordinated entry (i.e., prioritization lists)
Monitoring data quality and completeness for programs
Monitoring program performance

If you're unsure whether a user may need a BusinessObjects license, feel free to contact the helpdesk for guidance. Authorized representatives can also always contact the helpdesk via email at a later date to request a user be granted a BusinessObjects license.

Should this user be granted a BusinessObjects License?*

Yes No

If this user does not already have a BusinessObjects license, should they be granted a BusinessObjects license?*

Yes No

If a BusinessObjects license must be removed, please email the helpdesk.

Warning

Above you indicated that this user's primary reason for accessing the system will be for running reports, but have indicated that the user should not have a BusinessObjects license. Please verify that this is accurate or make appropriate corrections before proceeding.

SPDAT access

SPDAT Need-to-Know

The full SPDAT is currently available only within the St. Louis City and St. Louis County Continuums of Care. Users who do not have access to at least one project within the City or County CoCs may not have access to the tool in ServicePoint. Any questions about the rules regarding full SPDAT access in ServicePoint can be directed to our helpdesk.

The Service Prioritization Decision Assistance Tool (aka: the "full SPDAT") was developed by OrgCode Consulting, Inc. who mandates that any individual who will be administering the full SPDAT have completed proper, up-to-date training by OrgCode or an OrgCode certified trainer. The ability to access the full SPDAT in ServicePoint does not require this specific training, however all users who have access to the full SPDAT in ServicePoint must comply with the training requirements. Any users who have not completed the proper, up-to-date training may have access solely for the purpose of recording SPDATs administered by properly trained individuals and/or reporting on SPDATs that have been entered into the system, and must understand that having access to the full SPDAT in ServicePoint alone does not grant them the ability to administer the tool.

If you're unsure whether this user may need access to the full SPDAT, feel free to contact the helpdesk for guidance. Authorized representatives can also always contact the helpdesk via email at a later date to request a user be granted access to the full SPDAT.

Should this user have access to the full SPDAT?*

Yes No

SPDAT training requirement acknowledgement*

I understand that the full SPDAT may only be administered by those who have received proper, up-to-date training provided by OrgCode Consulting, Inc. or an OrgCode certified trainer. If this individual does not have this training, they will have access to the full SPDAT in ServicePoint solely for the purpose of SPDAT data entry and reporting.

Authorization & signature

Your (Authorized Representative) Name*

First Name

Last Name

Your (Authorized Representative) Email*

I understand the user training process requires a substantial amount of time on the part of the trainee. The individual for whom I am submitting this form will be given sufficient time to focus on training so that they can complete the process within the 14-day period, plus any additional 14-day periods that may be required in the event the user is required to complete multiple practice cases.

By signing below, I am authorizing the individual named above to have access to the Missouri Homeless Management Information System. I hereby confirm that I have verified that the information on the form is correct and that I have been designated an authorized representative for the purposes of HMIS for the agency I selected above.

I understand that the changes I am authorizing to be made to this user's account may result in additional training requirements for this user. In the event that additional training is necessary, the individual for whom I am submitting this form will be given sufficient time to focus on training so that they can complete the process within the 14-day period, plus any additional 14-day periods that may be required in the event the user is required to complete multiple practice cases.

Your (Authorized Representative) Signature*

Type your name as a signature above. This is a legally binding signature.

Submission Date

MoHMIS User Access Request

Type of user access request

Which of the following would you like to do?

Remove/Replace User's Information

New User's Information

Modified User's Information

What type of modification is needed for this user?

Project selection

Select the project(s) and project group(s) to which this individual should have access.

Warning

Balance of State Coordinated Entry

Documentation Requirements

STJ Coordinated Entry

Documentation Requirements

BusinessObjects licensure

BusinessObjects Need-to-Know

Warning

SPDAT access

SPDAT Need-to-Know

Authorization & signature