Submit a request

Only include personal information relevant and necessary to your submission and do not include any sensitive and/or health information.

Tell us more about your request

For example, do you require a CMS report that lists the roles assigned to certain users in the CMS?

For example, by using this data, you will be able to easily identify the level of access each user has and determine what level of access they should have

Please provide the agency name as well as the name and role of the person you will be sharing this data with

Please provide an approval from the agency requesting this report by using the 'Add file' button below. Tick this box as confirmation that you have attached the approval

Add file or drop files here

    Privacy Collection Notice
    Your personal information is collected through this form to communicate with you while processing your request. Please read the privacy notice for more information about how we handle your information.