Authorization and Confidentiality Statement
I agree to maintain strict confidentiality of information through the WV Statewide Homeless Management Information System. This information will be used only for the legitimate client services and administration of the above name organization and I agree that I have read and agree to abide by all policies and procedures in the WV Statewide HMIS Policies and Procedures.
Typing your information below is your electronic signature. This means by typing in the following information and clicking on the submit button, you acknowledge you have read and understand the above information.