User Policy, Responsibility Statement and Code of Ethics

December 12, 2014

Each person that your agency wishes to designate as a User of the HMIS database must fill this form out and sign it. The form describes the duties of HMIS users in keeping client information confidential and maintaining the security of the HMIS database. The form(s) must be returned to WCICCC before your agency will be granted access to the HMIS database. You may mail the form to Lori Sutton, Illinois Institute for Rural Affairs, Western Illinois University, 511 Stipes Hall, Macomb, IL 61455