EVV Help Form

If you are human, leave this field blank.

Electronic Visit Verification

Welcome to our EVV Help Form

We are committed to responding in a timely manner to any questions or issues you may have while using our EVV system. Our office is open Mon-Fri 8:30am-5:30pm and we will get back to you as soon as we can. Thank you!

First and Last Name *

Mobile Phone *

Email *

(If you do not have an email address, just put none@none.com)

Employee number *

If you are a current employee, please put your employee number. If you do not know it, put UNK

How do you associate with CISS? *

CISS employee

Family or Individual receiving CISS services

CISS administration

Best method to contact you about this issue?

EmailPhone Call

Category *

Please check all boxes below that apply to the issue or question you are having. If you need help during office hours, please call us at (805) 384-0983 x866.

Family/Person missing from list of jobs

Cannot log in

Trouble using software

Need EVV instructional guide emailed to me

New staff or family to add to system

Other

How can we help you?

Please describe how we can best help you. Make sure to include as many details as you can. If you experienced an error or problem in the software, please describe it below and let us know what date and time this occured. If you were unable to clock in/out live, log those details in a smartphone note, or on a private calendar and when we have fixed the issue, you can enter that data in the system.

Captcha *

For security verification, please enter any random two digit number. For example: 12

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