{"id":511,"date":"2025-02-25T16:40:12","date_gmt":"2025-02-25T16:40:12","guid":{"rendered":"https:\/\/dhss.delaware.gov\/otsa\/itforms\/"},"modified":"2025-02-25T16:40:12","modified_gmt":"2025-02-25T16:40:12","slug":"itforms","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/otsa\/itforms\/","title":{"rendered":"itforms ~  Information Technology Forms  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n  <br>\n\n  \n\n  <div class=\"container\" id=\"main_header\"> \n\n    <!-- BEGIN readspeaker div -->\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/itforms.html\" title=\"Listen to this page using ReadSpeaker\">\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n      <\/a>\n\n    <\/div>\n\n    <!-- END readspeaker div -->\n\n\n\n    <header class=\"pull-left\">\n\n      <h1><!--[type=EDIT name=\"Page Title\"]-->Information Technology Forms<!--[END]--><\/h1>\n\n    <\/header>\n\n  <\/div><br>\n\n \n\n  <div class=\"container\">\n\n    <div class=\"row\">\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n          <div class=\"panel sectionmenu_panel\">\n\n            <div class=\"panel-heading\">\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Office of the Secretary &#8211; Administration Menu<\/strong><\/a><\/p>\n\n            <\/div>\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/otsa\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n    <li>\n      <a href=\"\/otsa\/about.html\">About Office of the Secretary &#8211; Administration<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/sections.html\">Sections &#038; Programs<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/faq.html\">FAQs<\/a>\n    <\/li>\n   \n    <li>\n      <a href=\"\/otsa\/contact.html\">Contact Information<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/ofclocations.html\">Office Locations<\/a>\n    <\/li>\n  <\/ul><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\"><h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">  \n\n   <!-- <li>\n      <a href=\"\/rfp\/dhssrfp.htm\">Funding Opportunities<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/rfp\/dhssrfp.htm\">Requests for Proposals<\/a>\n    <\/li>-->\n    <li>\n      <a href=\"\/otsa\/arms\/reportfraud.html\">Reporting Fraud<\/a>\n    <\/li>\n  <\/ul><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\n    <li>\n      <a href=\"\/otsa\/epqc\/hsrbservice.html\">Human Subject Review Board<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/pubs.html\">Publications &#038; Forms<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/repstats.html\">Reports &#038; Statistics<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/itpubs.html\">Information Technology Publications<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/actmanagement\/actcasemanagement.html\">ACT Case Management<\/a>\n    <\/li>\n  <\/ul><\/li>\n\n\n\n\n\n\n\n<!-- INFORMATION LINKS: When adding a link, make sure to include the hyperlink tag <a> around the text-->\n\n\n<!--    <li><a id=\"SocialMenuHeader\"><h2>Connect <i class=\"fa fa-thumbs-o-up fa-fw\"><\/i><\/h2><\/a>\n  <ul id=\"SocialMenu\">\n    <li class=\"facebook\"><a href=\"https:\/\/www.facebook.com\/DEPublicHealth\" title=\"Division of Public Health Facebook Page\" target=\"_blank\"><i class=\"fa fa-facebook-square fa-lg\"><\/i> Facebook<\/a><\/li>\n    <li class=\"twitter\"><a href=\"https:\/\/twitter.com\/Delaware_DHSS\" title=\"Delaware Health and Social Services Twitter Account\" target=\"_blank\"><i class=\"fa fa-twitter-square fa-lg\"><\/i> Twitter<\/a><\/li>\n    <li class=\"googleplus\"><a href=\"#\"><i class=\"fa fa-google-plus-square fa-lg\"><\/i> Google +<\/a><\/li>\n    <li class=\"flickr\"><a href=\"#\"><i class=\"fa fa-flickr fa-lg\"><\/i> Flickr<\/a><\/li>\n    <li class=\"youtube\"><a href=\"#\"><i class=\"fa fa-youtube-square fa-lg\"><\/i> Youtube<\/a><\/li>\n    <li class=\"instagram\"><a href=\"#\"><i class=\"fa fa-instagram fa-lg\"><\/i> Instagram<\/a><\/li>\n    <li class=\"linkedin\"><a href=\"#\"><i class=\"fa fa-linkedin-square fa-lg\"><\/i> Linkedin<\/a><\/li>\n    <li class=\"pinterest\"><a href=\"#\"><i class=\"fa fa-pinterest-square fa-lg\"><\/i> Pinterest<\/a><\/li> \n  <\/ul>\n<\/li>  -->\n<\/ul>\n\n\n\n              <\/div>\n\n            <\/div>\n\n          <\/div>\n\n        <\/div><br>\n\n      <\/div>\n\n\n\n      <div class=\"col-md-9\" id=\"main_content\"> \n\n  <!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<br>\n\n\n\n<p>\n\n\n\n  Vendor\/External Agency SFTP Access Forms\n\n\n\n<\/p>\n\n\n\n<ul>\n\n\n\n  <li>The division requesting access should submit four copies of a completed Secure File Transfer Memorandum of Agreement (MOA) form,\n\n\n\n  signed by the division and the outside entity.<br>\n\n\n\n    <a href=\"\/wp-content\/uploads\/sites\/7\/otsa\/pdf\/sftpmoa01292010.pdf\">Secure File Transfer Memorandum of Agreement<\/a> and includes:\n\n\n\n    <ul>\n\n\n\n      <li>Appendix A: DTI State Information Transport Network (SITN) Acceptable Use Policy. This is available at <a href=\"http:\/\/dti.delaware.gov\/pdfs\/pp\/AcceptableUsePolicy.pdf\">http:\/\/dti.delaware.gov\/pdfs\/pp\/AcceptableUsePolicy.pdf<\/a>\n\n\n\n      <\/li>\n\n\n\n      <li>Appendix B (If the information transferred includes HIPAA-defined Protected Health Information (PHI))\n\n\n\n        <ul>\n\n\n\n          <li>\n\n\n\n            <a href=\"\/wp-content\/uploads\/sites\/7\/otsa\/pdf\/hipaabp.pdf\">HIPAA BAA template with the State as the Covered Entity(CE)<\/a>\n\n\n\n          <\/li>\n\n\n\n      \n\n\n\n        <\/ul>\n\n\n\n      <\/li>\n\n\n\n    <\/ul>\n\n\n\n  <\/li>\n\n\n\n  <li>\n\n\n\n    <a href=\"\/wp-content\/uploads\/sites\/7\/otsa\/doc\/authoriz.docx\">DHSS Systems User Request Form<\/a> For DB2, etc.<br>\n\n\n\n    *Note: If you are unable to access this document, please contact <a href=\"mailto:dhssinfo@delaware.gov\">DHSSinfo<\/a> for a printed copy.\n\n\n\n    <ul>\n\n\n\n      <li>\n\n\n\n        <a href=\"\/wp-content\/uploads\/sites\/7\/otsa\/pdf\/userauth111214.pdf\">Instructions for completing the DHSS Systems User Request Form<\/a> &#8211; <a href=\"\/wp-content\/uploads\/sites\/7\/otsa\/txt\/userauth111214.txt\" title=\"Text version of the DHSS Systems User Request Form\">[Text-Only Version]<\/a>\u2009\n\n\n\n      <\/li>\n\n\n\n    <\/ul>\n\n\n\n  <\/li>\n\n\n\n  <li>\n\n\n\n    <a href=\"\/wp-content\/uploads\/sites\/7\/otsa\/pdf\/irmnon-d.pdf\">DHSS Non-Disclosure Agreement Form<\/a>\n\n\n\n  <\/li>\n\n\n\n<\/ul><br>\n\n\n\n\u2009 <a href=\"http:\/\/www.microsoft.com\/download\/en\/details.aspx?id=4\"><img decoding=\"async\" alt=\"Microsoft Word Viewer icon\" class=\"img-thumbnail img-responsive\" src=\"\/wp-content\/uploads\/dhss\/img\/wordicon16.gif\">\u2009<\/a> Some of the files available on this page are in Microsoft\n\n\n\nWord format which requires Microsoft Word or Word Viewer. A free copy of <a href=\"http:\/\/www.microsoft.com\/download\/en\/details.aspx?id=4\">Microsoft Word Viewer\u2009\u2009<\/a> can be downloaded directly from <a href=\"http:\/\/www.microsoft.com\/download\/en\/details.aspx?id=4\">Microsoft,\u2009\u2009\u2009<\/a><br>\n\n\n\n<br>\n\n\n\n\u2009 <p class=\"smalltext\"><a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\"><img loading=\"lazy\" decoding=\"async\" alt=\"Download Adobe Acrobat Reader\" height=\"21\" src=\"\/wp-content\/uploads\/dhss\/img\/getacro60.gif\" width=\"60\"><\/a> Please note: Some of the files available on this page are in Adobe PDF format which requires Adobe Acrobat Reader.  A free copy of Adobe Acrobat Reader can be downloaded directly from <a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\">Adobe <\/a>. If you are using an assistive technology unable to read Adobe PDF, please either view the corresponding text only version (if available) or visit Adobe&#8217;s <a href=\"http:\/\/access.adobe.com\">Accessibility Tools page<\/a>.<\/p>\n\n\n\n\n  <!--[END]-->\n\n  \n\n      <\/div>\n\n    <\/div>\n\n  <\/div><!-- \/container -->\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Information Technology Forms Office of the Secretary &#8211; Administration Menu Home About About Office of the Secretary &#8211; Administration Sections &#038; Programs FAQs Contact Information Office Locations Services Reporting Fraud Information Human Subject Review Board Publications &#038; Forms Reports &#038; Statistics Information Technology Publications ACT Case Management Vendor\/External Agency SFTP Access Forms The division [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-511","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages\/511","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/comments?post=511"}],"version-history":[{"count":0,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages\/511\/revisions"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/media?parent=511"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}