Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Welcome to our Electronic Visit Verification (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! Name *FirstLastPhone *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 UNKHow do you associate with CISS? *CISS employeeFamily or Individual receiving CISS servicesCISS administrationHow should we contact you?EmailPhoneCategory *Family/Person missing from list of jobsCannot log inTrouble using softwareNeed EVV instructional guide emailed to meNew staff or family to add to systemOtherPlease check all boxes above that apply to the issue or question you are having. If you need help during office hours, please call us at (805) 384-0983 x866How 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.After completing CAPTCHA, click the SUBMIT button to send us this form! SUBMIT
