MAP Owner Contact List & Tableau Access Maintenance

MAP Owner Contact List & Tableau Access Maintenance

Please check the current updated list here before submitting to Add or Remove a MAP Owner from the Email List.

Request Type*

Please provide the actions that need to be taken in regards to Adding or Removing an individual from the Email List or access to Tableau. Only one individual can be submitted at a time, but once the form is completed and submitted, the form will reopen blank for the next entry.

CHECK ALL THAT APPLY TO THIS INDIVIDUAL:

Add New MAP Owner to Email Distro List

Add New Access to Tableau MAP Dashboard

Remove a MAP Owner from Email Distro List

Remove Access from Tableau MAP Dashboard

Eligibility Site Name*

Select or enter value

Requestor Details

Provide your name and email address in case we have questions about the request.

Requestor Name*

Requestor Email*

Provide MAP Owner Requiring Removal

Provide the name and email address for the individual you are requesting should be removed from the list.

MAP Owner First Name*

MAP Owner Last Name*

MAP Owner Email Address*

MAP Owner Job Title*

Your CBMS Username or County Portal Login Username*

If you do not have a CBMS or County Portal username, please reach out to your County/ MA Site IT to request that they get you a username.

If you are a HCPF staff member, please provide the user name you use to login to your computer.

Send me a copy of my responses

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