Each URF is specific to the Virtual Gateway service an organization will use so please select the appropriate URF below. Please download a copy to your desktop, complete the form as per the instructions on the form, and email the complete form to the email address indicated on the form.
Please contact Virtual Gateway Customer Service with any questions at 1-800-421-0938.
Information for Access Administrators is also available for download.
- Juvenile Justice Enterprise Management System (JJEMS)
- Background Check System User Request Form file size 1MB
- COGNOS User Request Form
UPDATED: EIM/ESM User Request Form (Posted 4/11/2017)
- HCSIS User Request Form - Providers file size 1MB
- IRIS User Request Form
- Legislative Budget Tracking (LBT) User Request Form
- Money Follows the Person (MFP) User Request Form
My Workspace User Request Form file size 1MB
Provider Data Management (PDM) User Request Form file size 1MB
This information is provided by the Virtual Gateway within Health and Human Services.