MDHS (ECCDI) Support Request
Summary
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Request Type
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Get IT help
Set up VPN to the office
Get a guest wifi account
Fix an account problem
Request new hardware
Request new software
Emailed request
Onboard new employees
Request a new account
Request admin access
sd_customer_name
Select the best option:
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I am an Applicant.
I am a Provider (Employer).
First Name
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Last Name
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ID Number
Applicant Email
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Applicant Phone Number
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Type of Issue
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Scholarship Payment Program
Direct Incentives Program
School Age Reimbursement Program
Start Up Cost Reimbursement Program
Room Refresh Program
Summary of Issues:
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