CTHMIS – Report Issue Form

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CTHMIS – Report Issue Form

CTHMIS - Report Issue Form

When lodging a support request for reports. Please be as detailed as possible. Due to the complex nature of reporting, a follow-up call or email may be required to gather additional information.

Basic Information

Name(Required)

First Last

Email(Required)

Your HMIS Username(Required)

The username used to Log In to the CT HMIS CaseWorthy Database

Your Organization(Required)

What type of report issue are you experiencing?(Required)

How would you like to provide us details of the report?(Required)

Report Run Details

Path to the Report/Export(Required)

Copy/paste the Report URL Here.(Required)

Copy the URL visible at the top of the CaseWorthy Report Viewer pop-up window.

Begin Date of Report

End Date of Report

Organization(s) the Report was ran on

Program(s) the Report was ran on

Provider(s) the Report was ran on

Issue Details

Provide the name of report you are looking for.(Required)

Under What Role did you have this error?(Required)

Client ID(s) related to this issue

A description of the issue or add additional comments(Required)

Include any example output, error messages, and screenshots from the report

Drop files here or

Max. file size: 256 MB, Max. files: 6.

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