Minnesota Custom Reports Request
***OUR CURRENT QUEUE FOR CUSTOM REPORTS IS 90 DAYS OR LONGER.***

Need custom data? Please complete the form below. Minnesota HMIS staff will respond to requests within two weeks. Once we've reviewed the request, we will reach out with any needed clarifications. We'll then send a write up of the report specifications, as well as a time estimate based on complexity and workload. September - March is our busy season; the more notice you can give, the better.

Please note that we cannot meet all custom report requests. Due to limited reporting capacity, we will prioritize requests that benefit multiple stakeholders, such as statewide or CoC-wide datasets. Report delivery times will vary depending on priority requests, mandated reporting cycles, and other outstanding projects.

Basic Information
Name *
Agency *
CoC *
Phone Number
Email *
Taskforce/Workgroup
Does your agency currently use Minnesota’s HMIS (also known as Minnesota ServicePoint)? *
Requested Report Delivery Date *
MM
/
DD
/
YYYY
Report Details
Is the data request for a specific grant? *
If Other grant, please specify
Grant application due date (if applicable)
MM
/
DD
/
YYYY
What will this report be used for? *
Please provide specific details.
Which HMIS Provider(s) should be included in the report?
Please provide as much of the following as possible: Provider Name, Provider ID Number, Program Name (if applicable), ServicePoint workflow type (Entry/exit, Service Transaction, or Shelter Stays)
Data elements or assessment questions to include: *
What do you want the report to list? *
Report Start Date *
MM
/
DD
/
YYYY
Report End Date *
MM
/
DD
/
YYYY
Report Design: how do you envision this report to look? Please upload a sketch, photo, Word or Excel file of the layout. *
Required
Provide any additional details that need to be included on the report.
Submit
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