BTG Client Informed Consent Form (Jun 2018) BTG Authorized Agency List (Apr 2021) Client consent will end seven years after the signaturedate by default; however, clients may also changetheir consent to share at any time. www . Client Consent and Coordinated Assessment: What can I enter into HMIS? *If this project has 3 or more funding sources funding the units/beds, OR operates in 3 or moreCoCs, please contact the Helpdesk at the email above so that we can assist you in streamlining this process. The HMIS (Homeless Management Information System) is a local web-based information technology system that San Diego's Continuum of Care (CoC) uses to capture and report on client, project, and system level information regarding homeless services utilization, performance and outcomes. Procedure: Projects, unless otherwise exempted, must obtain a signed Client Informed Consent to Share and Release of Information form from every head of household who will be entered into HMIS. Request in-depth assistance with implementing a HUD-funded program. The HMIS team is a funded as a project through the collaborative COC grant funds received from HUD. Don't Miss: Corpus Christi Food Bank Donation. For Agencies/Projects Not Currently Set Up in HMIS: For Agencies/Projects Currently Set Up in HMIS: Data and Performance Management Meeting Materials, Article: HMIS Requirements for New Agencies. Authorized Power of Attorney or Proxy notarized letter from Client along with signed HMIS consent form. Capacity Building. FileShare. HMIS Training: Completing the Electronic Consent Form 319 views Jan 9, 2019 2 Dislike Share Save Ending Homelessness 81 subscribers This five minute video provides training on how to complete the. Form 1119 - Consent To Share Protected Personal Information (English) Share: . KMNH has developed an extensive collection of reports and dashboards that may already meet your needs. See Washington State HMIS forms here. Policy. If I need to be referred to another agency for services, my information will be forwarded to only CNY HMIS Policy and Procedures Updated 2018, HMIS Agency Partnership Agreement Updated 2017, CNYHMIS Client Consent Form Updated 7-2019, CNYHMIS User License Request / Training Request, Intake Assessment Forms Updated 10/2021, PDF Format. Powered by Help Scout. Minnesotas HMIS is a collaborative project of the 10 Minnesota Continuums of Care, the Minnesota Tribal Collaborative to Prevent and End Homelessness, the State of Minnesota, the Institute for Community Alliances, and participating partner agencies. View MN HMIS' Provider List of over 200 agencies. The following consent forms and policy documents support specific confidentiality and security standards to protect and inform both the client and provider. If you have any further questions, please contact ourHelpdesk! I understand that I may obtain a copy of my signed consent . and my refusal to consent does not disqualify me from receiving services. CES HUD Guidance For more information on CES, please visit the Coordinated Entry Community Sample Toolkit. Explore collections of guided learning opportunities on a variety of topics. Meeting Attendance Policy, FAQ for Service Providers who do not administer the VI-SPDAT, FAQ for Victim Service Providers (VSPs) who administer the VI-SPDAT, FAQ for Providers who administer the VI-SPDAT, Housing Problem Solving HMIS Quick Guide (, HPS Summary Form Participant Check Request (, Housing Problem Solving Minimal Intake Form (. HMIS Documents | The Housing and Homeless Coalition of Central New York HMIS Documents For assistance with HMIS, email HMIS@unitedway-cny.org E-Forms: User License Request Form New User Ethics Agreement Policies and PDF Forms CNY HMIS Policy and Procedures - Updated 2018 HMIS Agency Partnership Agreement - Updated 2017 End User Best Practices Cheat SheetTips and reminders for HMIS users. HMIS_Client_Consent_Form_10-26-2016 Connections for the Homeless (Connections) is a partner in the Northeast Illinois Homeless Management Information System . 2 2M#/oko|y;3n64k' Jy92*Qtyo/cwR-.MOD0MRVQ*m9I'e9. This version includes a list of all agencies with access to HMIS. For system administration questions contact nevada-admin@bitfocus.com. To comply with this requirement Kitsap County agencies that provide homeless housing and services participate in the Kitsap HMIS Collaborative, an agreement to share client data between agencies. Welcome to HMIS! Download the Client Consent and Supplemental Form. Client Consent To Data Collection And ROI, How to add an Electronic Signature ROI (PDF), How to add an Electronic Signature ROI (Video). An example of a standardized form is HMIS Form 105 which reports monthly attendance figures for maternal and child health and FP visits, diagnoses for the outpatient department, . Learn through self-paced online trainings, recorded webinars, and more. HMIS Administrative Documents - Use and Bookmark our ServicePoint link hmisncceh.servicept.com! HMIS Client Consent Form: Informed Consent Agreement (Sample) Print ShareThis Date Published: June 2011 Description This is an example of an informed consent agreement. 112 or . Below are some of the aspects of data sharing: If data are shared with the goals below, it is anticipated that agencies will be able to see how the network of services are working and performing, where improvements are needed, and whether households are becoming stable. HMIS Client Informed Consent Client Release of Information and Informed Consent IMPORTANT: Do not enter personally identifying information into HMIS for clients who are: 1) in DV agencies or; 2) currently fleeing or in danger . Categories: Homeless Management Information System (HMIS) File Type: Download: 290: Size: 0.00 KB: Create Date: January 1, 1970: Last Updated: November 15, 2016: File Action; The Service Prioritization Decision Assistance Tool (SPDAT) was developed by OrgCode Consulting as an assessment tool for frontline workers to prioritize which homeless clients should receive assistance first and to determine when clients have sufficiently stabilized so that assistance is no longer needed. Helpful Links Contacts HMIS Help Desk 714-589-2360 Erin DeRycke Elizabeth Duong WHAT IS HMIS? An amendment to the privacy notice regarding use or disclosure will be effective with respect to information processed before the amendment, unless otherwise stated. In instances where past privacy notices did not include a statement about amendments and retroactive impact, client data obtained under those privacy notices would not be permitted to be used for any purposes other than the original uses and disclosures outlined in the privacy notice. Your feedback will help shape future HMIS training events. Data sharing is the ability to transfer data from one agency to another electronically through HMIS. The Statewide HMIS Data Committee and HMIS Lead recently approved the use of a new HMIS consent to share form. A signature is not required on the general HMIS ROI and agencies can document that verbal consent has been obtained from the client by indicating this on the signature line. View HUD's HMIS Standard Reporting Terminology Glossary. A In general, HMIS standards do not stipulate what form of consent must be obtained to share data within HMIS. 2. The Housing and Homeless Coalition of Central New York (HHC) serves the City of Syracuse, the County of Onondaga, the City of Auburn, the County of Cayuga and the County of Oswego. Agencies should refer first with their own data privacy agreements, then any data sharing arrangements theymay have. ES, HP, TH, & SSO Annual Assessment for Children under 18, 2021 CNY HMIS Exit RHY Assessment for Adults & HoH, 2021 CNY HMIS Exit RHY Assessment for Child of Parenting Youth, 2021 CNY HMIS TH, RRH and SSO Exit Assessment Child Only, 2021 CNY HMIS TH, RRH and SSO Exit Assessment, HUD ESG & CoC TH, RRH, and PSH Assessment SPANISH, CNY HMIS ES and SO Entry Assessment for CHILDREN HoH-SPANISH All, Permanent Supportive Housing HMIS Workflow, List of HMIS Providers (Updated 5-14-2021). Client/server system: Architecture in which the client and server computers are connected via a LAN or 2.24 miles ( serves your local area) 524 Maryland Avenue, Essex, MD 21221. Effective March 1, 2014, the Institute for Community Alliances (ICA) became the HMIS lead organization for the State of Wisconsin. HMIS New User Authorization - A new process for HMIS new user authorization. If I refuse, I will not lose any benefits or services. In general, HMIS standards do not stipulate what form of consent must be obtained to share data within HMIS. Serving. Voluntary verbal informed consent was obtained from all respondents prior to interviews. `RQ$7;k+g?Ew?J?=T'{z%QqRdO}EI;a[mq]l[ Dependent children under 18 in household, if any (Please print first and last names): . With your consent, your personal information, including historical information in HMIS, will be made available to other agencies providing services to you through HMIS. information has been misused, I can contact my HMIS systems administrator at (206) 444-4001 x2. Appalachian Regional Commission Program (ARC) Community Development Block Grant (CDBG) Community Development Block Grant-Mitigation (CDBG-MIT) Emergency Solutions Grant (ESG) Housing Opportunities for Persons with HIV/AIDS (HOPWA) HUD Consolidated Plan and Executive Summary. You have the right to receive a copy of this consent form. Homelessness is solvable, and by acting together as a community, all people can have a home. Governance. 800-594-9854 Ext. HMIS Forms & Manuals | CARES of NY, Inc. CCHMIS Manuals, Request Forms, and Resources COVID-19 Administration HMIS Manuals eForms entries Showing 1 to 5 of 5 entries Previous Next CCHMIS Paper Forms Intake Discharge Update Assessment Contact Showing 1 to 10 of 50 entries Previous Next The following forms are essential to compliance with client confidentiality and data security requirements, HUD Data Standards, PATH, and CES referral prerequisites. Click HERE to download the videos PowerPoint slides, HMIS Standard Reporting Terminology Glossary, Household DHS HS Exit - Housing and Supportive Services, Family and Youth Services Bureau (FYSB)Website, HUD- ESG HMIS User Guide for Night-by-Night Emergency Shelter, Homework Starts with Home Data Entry Demo. HUD FAQ People New. Explore featured publications and browse regulations, policy guidance, toolkits, and other resources. TheHMIS Privacy and Security Standardsthat were established in 2004 by HUD still provide the basic framework for data privacy. Homelessness is solvable, and by acting together as a community, all people can have a home. Please have the following readily available as you complete this form: The staff person at your agency who can provide accurate information and answer questions about the project; Knowledge of the funding source, including when the grant starts/started; For federally-funded projects, the grant identifier from your contract or grant; For shelters and housing projects, knowledge of the number of beds and units per this funding source. Electronically: A client can consent by reviewing and signing the ROI form electronically in HMIS. The following consent forms and policy documents support specific confidentiality and security standards to protect and inform both the client and provider. ICA's . 2021 HIC and Sheltered PIT submitted Orange County CoC Dashboard Published! Account status change request. The Vulnerability Index Service Prioritization Decision Assistance Tool (VI-SPDAT) was developed by OrgCode Consulting and is a triage survey administered to homeless individuals and families that helps to determine acuity of need and prioritization of BTG's housing resources and supportive services. View brief descriptions of HMIS Project Types. HMIS Other than Other Exits - Exit Destinations for HMIS projects are varied, but can generally be captured by one of the 30+ available destinations. The following forms must be completed and submitted to the HMIS admin team if new users require access to the system or if duplicate clients require merging. There are well-defined data collection procedures and limitations. Meet SAP BusinessObjectsThis video introduces SAP BusinessObjects, a software program used to build and store the reports that help make HMIS data actionable. Client Consent for HMIS@NCCEH - HMIS Participating Agencies collect personal information about people they serve in a computer database called the Homeless Management Information System (HMIS). $(this).parent('.panel').find('.fa-plus').show(); policies and corresponding procedures that are appropriate locally and that are compliant with federal, state, and local law. With this form, you can give permission to have information about you collected and shared with Partner Agencies that help King County provide housing and services. This means the agency representative signature must still be present. The client cannot be denied services based on refusal to share data. The Projects for Assistance in Transition from Homelessness (PATH) Program participation in HMIS provides a platform for coordinating care and improving access to mainstream programs and housing resources and supports the generation of the PATH Annual Report. The Baltimore City Mayor's Office of Homeless Services serves as the HMIS Lead Agency for the Baltimore City Continuum of Care. You have the right to see your information in the HMIS, ask for changes, or ask for a printed copy upon request. Explore collections of guided learning opportunities on a variety of topics. Learn about what HUD grantees are doing across the nation. o A copy of your consent form o A copy of your HMIS record (agency staff must review this information with you if you request such a review % Please bear in mind that these documents were created by organizations based on their specific needs and objectives, Due to the nature of UHMIS, when client consentends, this agency will share no new information,but this agency will not remove anything already shared within the system. Signing this consent form does not guarantee you services. Decisions regarding permitted types of consent (inferred, written, verbal, etc.) The amount of information shared can also vary from provider-to-provider within one community depending on the needs of the agencies involved and the wishes of the clients they serve. Giving That Gives Back 6. Welcome to the Housing Contract Administration Partner Agency Portal. Your identity and information collected in the WI will HMIS be shared, with your written consent, in the network and with network partners who have written agreements with ICA. The HMIS client consent form should explicitly state how the data will be collected, shared, and used, and explain a client's right to protect and limit its use. Participants were informed of their freedom to participate in the study . In general, client consents requiring amendments would necessitate obtaining client consent (again) for the amended sections. Continuum of Care. HMIS is a data collection system specifically designed to support planning, management, and decision making in health facilities and organizations. Coordinated Entry System. You may contact the food pantry manager, Carla Schroyer at 410-285-4674 ext. 2023 US Department of Housing and Urban Development, 2004 HUD Data and Technical Standards Notice. $(this).parent('.panel').find('.fa-minus').show(); Annual Assessment for Children under 18, 2021 CNY HMIS Update. Veterans By Name. A head of household's consent will apply for every other household member. 2003-2021 Bitfocus, Inc. All rights reserved. Resources. The document informs clients about services, fees, records, and limitations that may affect the client. Client Consent and Data Privacy Notice documents are on the Administrative Documents page. There was a problem submitting your feedback. Funding. Section 4.2.4 of the2004 HUD Data and Technical Standards Noticeallows for retroactive application of amendments to the privacy notice, stating, A CHO must state in its privacy notice that the policy may be amended at any time and that amendments may affect information obtained by the CHO before the date of the change. Data sharing is a comprehensive term used differently in each community where it is implemented. Browse the library of grantee reports and plans, organized by program. Request in-depth assistance with implementing a HUD-funded program. To download the consent form, you can simply click on the preview pictures below. HMIS Privacy Policy- The goal of HMIS Privacy Policies and Procedures is to ensure confidentiality and security of all client data captured in HMIS in conformity with all current regulations related to privacy and data confidentiality rights. sg+QN y]ZU(_,iOw0*'% |xw/"402wu1*y@R,) ?cmJ*J@ d@4FET~2ZREKdW^8>+V$lL)'+F7e;xtbYiyRn^a$Vh|oF WI HMIS includes your demographic information and other essential personal information needed to best determine your service needs. Since its inception in 2004, BTG has utilized the HMIS to collect client-level data, as well as data on the provision of housing and services to at-risk and homeless individuals and families. What information is collected and how it is used is described in the HMIS@NCCEH . For more detailed information about the responsibilities an agency has regarding data privacy, please review theData Privacysection of theMinnesota HMIS Policies. Personal Identifying Information (Name, Social Security Number, Date of Birth, Gender, Veteran Status, photo) Personal identifying information about your dependents (if applicable) (Note: Anyone 18 years of age or older must sign a separate consent form.) BTGs HMIS application enables homeless service organizations to improve case management by collecting information about client needs, goals, and service outcomes and allows for timely access to resources and prioritized referral information to better manage coordinated entry operations. Updated November 09, 2022. Minnesotas HMIS is a collaborative project of the 10 Minnesota Continuums of Care, the Minnesota Tribal Collaborative to Prevent and End Homelessness, the State of Minnesota, the Institute for Community Alliances, and participating partner agencies. Click here to fill out a new Provider Request Form. WHAT IS HMIS of Central Florida? Please send all requests for changes to support@bitfocus.com. Find point of contact information for HUD's grantees. HMIS Client Consent Form with Supplemental.pdf. HMIS Privacy & Data Sharing Overview - Client Consent Form attached at the bottom, Password: Reach out to your System Administrator. By signing this form, I give this Agency permission to share (verbally, or through the HMIS, mail, fax, or by hand) information collected about me and any dependents listed on the back of this form with HMIS Partner Agencies, for the Client Informed Consent FY 2021-2022. %PDF-1.4 Tourist Development Forms. Client Revocation of HMIS ConsentIf a client decides to revoke consent, they must sign this form. It can mean HMIS system visibility that is very focused and specific or very general and broad. Grantees and their partners should go through their own process to develop Partners In Care, 200 N Vineyard Blvd Suite A-210, Honolulu. Ask a basic policy or reporting system question. HMIS. 2023. Learn about what HUD grantees are doing across the nation. Coordinated Entry System. HMIS Help Desk. This form allows the Institute for Community Alliances (ICA) to configure data collection appropriately for agencies in the database. Intergovernmental Review-EO 12372. HMIS Sample Forms Clarity Human Services Help Center 2022 Data Standards 2022 Data Standards HMIS Sample Forms The HMIS sample forms below are specific to each program listed. HMIS -Homeless Management Information System. Got Questions? Please note that the training request form will need to be submitted along with the new user agreement form. The CNY HMIS is a system that uses computers to collect information about homelessness in order to help plan and pay for services to . HMIS Client Informed Consent Client Release of Information and Informed Consent IMPORTANT: Do not enter personally identifying information into HMIS for clients who are: 1) in DV agencies or; 2) currently fleeing or in . BTG has chosen CaseWorthy as its HMIS solution. Please contact mnhmis@icalliances.org if you need assistance filling out this form. All questions must have an answer in order to save - please choose N/A where needed. 'Client Revocation of Consent' form with this agency. Please try again later. A signature is not required on the generalHMIS ROIand agencies can document that verbal consent has been obtained from the client by indicating this on the signature line. All Rights Reserved. Homeless Programs Reporting ScheduleCheck out this resource for information on upcoming report deadlines. The HMIS code migration is scheduled for Tuesday January 3rd, 17th & 31st. LB HMIS Consent & LB ROI Page 1 of 4 Revision 20201110v5 . The documents have not been reviewed by HUD or its contractors for applicability, legality, or compliance with federal statutory and regulatory guidelines. See our Training page for more details on how to sign up for HMIS trainings. Additionally, make sure theData Privacy Noticeis available to clients at intake, even if an intake is being conducted over the phone. It allows the Agency to use HMIS, assigning rights to user licenses. The FY 2022 HMIS Data Standards have an effective date of 10/1/2021. KING COUNTY HMIS - CLIENT CONSENT TO DATA COLLECTION AND ROI- Jan 2020 King County Homeless Management Information System (HMIS) . Homeless Management Information System (HMIS) - Intake Form. System Administration provided by Bitfocus, Inc. Copyright 2020 Institute for Community Alliances. Homeless Count. x]&qWZF>/ifi5oS @f) Online Fillable Client Consent to Data Collection and ROI (2020) Client Revocation of Consent (2019) (Click here to also access this form in other languages). Find award and allocation amounts for grantees by year, program, and state. There are strict legal guidelines for who has access to your information, and it is protected by electronic encryption. This consent form expires in three (3) years, meaning that any data collected after that time will require an updated consent form before that data will be shared. Form 1119 - Consent To Share Protected Personal Information (English) Share: . LA-HOP. Client . Search for a specific grantee and view itsawards, contact information, and reports, and more. }), Presidents Day - Mon, Feb 20, 2023Prince Kuhio Day - Fri, Mar 24, 2023 (Observed)Memorial Day - Mon, May 29, 2023, Copyright 2023 Bridging The Gap Hawaii |, Prince Kuhio Day - Fri, Mar 24, 2023 (Observed), BTG Client Informed Consent Form (Jun 2018), BTG Custom Data or Report Request Form (Apr 2019), HPO Memo Re: Consent to Share Privacy Forms - 11.1.17, BTG HMIS New User Agreement and Training Request Form (Feb 2020), BTG Duplicate Client ID Merge Form (Jul 2018), FY 2022 HMIS Data Standards Manual (Sep 2021), PATHHMISProgram Specifications (Jun 2019), Adult - TH, RRH, Non-CoC Program Funded PSH & HP, Adult - ES, TH, RRH, & Non-CoC Program Funded PSH, BTG Additional Family Member Form (Sep 2021), BTG SPDAT Individual Assessment (Nov 2020), BytePages Content Management System Powered by Byte Productions. Agency Agreements Agency Participation Agreement (Sample)This form is an agreement between an agency and NCCEH. As many agencies are moving to phone-only interviews and meetings with clients, ICA has received several questions about obtaining verbal consent for a release of information (ROI). Mailing address change. SAP BusinessObjects User SettingsThis video demonstrates how all users should configure their BusinessObjects account settings. Approval of data requests and applicable fees will be determined by the BTG BOD. Find answers to frequently asked questions. FileShare. I can receive a copy of this Consent and the Client Information Sheet I may refuse to sign this Consent. EGMS (LAHSA staff) EGMS All . Effective Wednesday, July 5, 2017, all Homeless Providers contributing data into HMIS are required to use this new form. Browse the library of grantee reports and plans, organized by program. The Can Food Pantry is here to serve and assist you. This information will help increase participation and collaboration among agencies, as well as a sense of ownership and trust in the efforts to reduce homelessness. Capacity Building. Before a request is made, please review the reports page of this website and the set of existing reports that are currently available in the system. What's new HMIS documentary Digital Learning - New HMIS Portal Latest Technical note released on: Wed, Dec 04, 2019 for Version 8.6.7 CNYHMIS Client Consent Form Client Name: _____ Date of Birth:_____ Agency: _____Program: _____ I know that this agency is part of the CNY HMIS (Homeless Management information System). Data sharing is a comprehensive term used differently in each community where it is implemented. On a paper copy of the HMIS ROI, the form must be completed except for the client signature. All people have a home. contact the HMIS System Administrator at 425-388-3270. We work with and for the homeless and formerly homeless or other interested consumers and stakeholders. Find point of contact information for HUD's grantees. EGMS (LAHSA staff) EGMS All . CLIENT CONSENT TO DATA COLLECTION AND ROI Page 4 of 6 Version 2020-03-11 This form may not be amended or modified except on approval of the County of Santa Clara's Office of Supportive Housing. Client Consent and the HPAT: What can I enter into HMIS? MEASURE Evaluation worked in Ethiopia to implement a HMIS in the Southern . NEW Elements of Focus Training Days Elements of Focus Training will now be on Tuesdays only. NH HMIS and CE Release of Information - Printable, NH HMIS and CE Release of Information - Virtual Signature, Link clients to mainstream benefits and services, Enable comprehensive system-level performance measurement. The form can be signed two ways: 1. NCCEH uses DocuSign to electronically gather signatures. For a privacy notice, an agency must post a sign at each intake desk (or comparable location) that explains generally the reasons for collecting HMIS information, and the uses and disclosures allowable. For technical support contact nevada@bitfocus.com. Vice President, Data Analytics. 7.2020 Forms & Documents for Agency Administrators SCC HMIS Partner Agency Privacy and Data Sharing Agreement Revised 01.12.2023 Technical Administrator and Security Officer Agreement version 10.21.2021 Electronic End User Agreement version 01-29-2020 EIN # 84-1705573 Santa Clara County uses this data to improve the ability of local organizations to provide access to housing and services, and strengthen our efforts to end homelessness. 5 0 obj $('.panel-collapse').on('show.bs.collapse', function () { - Click HERE to download the videos PowerPoint slides. Baltimore City HMIS Information Sharing Consent form (Spanish) Baltimore City HMIS Information Sharing Revocation of Consent form (Spanish) HMIS Participating Agencies include housing programs and service providers throughout the City of Baltimore who contribute data to the HMIS. This form can be used to request ad hoc analysis or to develop new custom reports or dashboards. Client Consent and the VI-SPDAT: What can I enter into HMIS? the GA HMIS as described in this consent form. The following HUD documents are available for download to help navigate and better understand HMIS data collection. (One form per adult client or unaccompanied youth under 18 with parent or guardian consent) _____ is an Authorized Agency in Hawaii's Homeless Management Information System (HMIS) and Coordinated Entry System (CES). Tourist and convention development tax return (for registered taxpayers only) Once completed and signed, please fax or mail to the number or address on the form. Legislative Affairs MyOrg. 2023 US Department of Housing and Urban Development, Client Consent Form: Informed Consent (Sample), HMIS Client Consent Form: Informed Consent Agreement (Sample). This consent is valid for seven (7) years from the . and they may reflect local laws and policies. Visit the FY 2022 HMIS Data Standards Changes page. Online Application. Explore featured publications and browse regulations, policy guidance, toolkits, and other resources. Data sharing is the ability to transfer data from one agency to another electronically through HMIS. HMIS Data Collection Template (PDF) - recent standards revision, a form any agency may use for collecting all of the required HMIS elements at enrollment and exit. PART II - YOUR CONSENT Basic Information: This information will be shared through HMIS and with members of the Collaborative. Phone: 502-564-7630; (800) 633-8896 (KY only); ext. Request to waive penalty. January 1, 1970. Click here to see examples of completed ROIs. HMIS Setup & Data Forms Data Request Form (Revised 08/2019) For Agencies/Projects Not Currently Set Up in HMIS: Article: HMIS Requirements for New Agencies (Revised 07/2022) New Agency/Program Set-Up Form* (Revised 02/2020) Participating Agency Agreement (Revised 03/2021) Inter-Agency Data Sharing Agreement (Revised 01/2021) The information they collect helps to run programs, improve services, and better understand your needs.

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