HMIS TA, License, & Training Requests
HMIS License Request
Existing License (update user)
Choose either New License (to create a new license) or Existing License (to update the user of a license you currently hold)
ART License Required?
Name of Existing Licensee (if applicable)
If you have an existing license that is being updated, please enter the name of the person currently holding the license.
Name of New Licensee
For both New Licenses and Updates to Existing Licenses, what is the name of the person who will be using the license?
Licensee Contact Email
Licensee Contact Phone Number
Please enter the dates and times licensee will be available to meet for training (minimum of 3 options, please).
Notice: All new licensees must be trained by a System Administrator and sign a New User Agreement. New agencies must have a signed Agency Agreement, and a System Demonstration is highly recommended.
Hampton Roads HMIS
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