CTHMIS Support Form – Password Reset

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CTHMIS Support Form – Password…

CT HMIS - Password Reset Request Form

The CT HMIS helpdesk is covered 5 days a week from 9:00 AM to 5:00 PM. Using this form submits a ticket to our helpdesk.

Your Name(Required)

First Last

Your HMIS Username(Required)

The username used to log into the CT HMIS CaseWorthy Database.

Your Email(Required)

Which CT HMIS Database is this reset being requested for.(Required)

Note: Usually the "CCEH (LIVE)" option is correct, as this is where you input real client data but some users may need to reset access to one of our databases such as the Learning Management System (LMS) database , Support database or Development database.

CAPTCHA

This field is for validation purposes and should be left unchanged.

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