Homeless Management Information System Data Request Form

Metro Social Services is the Homeless Management Information System Lead Agency for the Nashville-Davidson County Continuum of Care. To request data from the system, please complete all sections of this form before submitting your request. Staff at Metro Social Services will review your request within three business days and will contact you regarding next steps.

Please note that submitting this form does not ensure that your request will be fulfilled, and you may be required to provide additional information or re-submit the form before receiving a determination from the Homeless Management Information System Manager. The Manager retains authority for determining whether and how data requests may be fulfilled. Report delivery times will vary depending on priority, complexity of the request, and other outstanding requests.

If you have questions about the form or need help completing it, please e-mail [email protected] with the subject line "HMIS Data Request Form."

Name

Title

Agency

Email Address

How do you intend to use the data you are requesting?

Internal performance measure: use data to improve services within your agency

Presentation of data outside your agency: use data to inform the work of CoC committees, provide education to the community, etc.

Funding: use data to fulfill requirements of an existing grant

Funding: use data to complete grant application

Other

What information are you requesting?

Please describe your data request in detail.

Are you requesting aggregate data or client level data?

Aggregate data

summary data that does not have any information that could be used to infer an individual or households identity

Client level data

includes information about individuals and households that could be used to identify them

What do you want the report to count?

Individuals

Households

Both

Should the report be based on an unduplicated client count, or all records collected during the reporting period?

Unduplicated client count

All records collected during the reporting period

What is the date range of the data being requested? Please include a start and end date.

Date Range Start Date

Date Range End Date

When do you need the data?

Please select the anticipated frequency of this data request.

One-time request

Recurring request: monthly

Recurring request: quarterly

Recurring request: annually

Other

Please select the format in which you would prefer to receive the data.

Custom report access through HMIS

Homeless Management Information System participating agencies only

Data file

e.g. excel, csv, etc.

No preference

Is there any other information you feel is needed to process your request?