CT HMIS

Release Bin

 

 

Submission of a System Enhancement Request does not imply approval of the project. All requests are subject to review by the Release Bin Sub‐Committee of the HMIS Steering Committee. Agency Name*

First Name*

Last Name*

Phone*

Email*

Type of Request*

--- Select --- Report Development Bug Fix Additional Functionality Add a Data Element Other

HMIS Enhancement Request*

HMIS Enhancement Request Details*

If you are requesting a new report, please scan and attach a sample mock-up

Is this request required by a program funder?**

--- Select --- No Funder Mandate Yes - HUD Mandate Yes - DOH/DMHAS Mandate Yes - Other Federal Agency Mandate Yes - Other State Agency Mandate Yes - Private Funder Mandate

If Yes, please scan and attach documentation indicating this requirement

Will this request be useful to other HMIS users?*

--- Select --- Benefits Most or All Program Types Benefits the Same Program Type Agency Specific Program Specific at an Agency

If Yes, please describe the benefit anticipated by this enhancement

If there is a cost associated with this system enhancement, does your agency have funds allocated to it? There will be communication around costs.

--- Select --- Yes No

What is your requested timeline?*

-- Select -- Urgent - As soon as possible 1 - 3 Months 3 - 6 Months 6 Months+