CHAMP User Access Management Form (v1)

To best support you please answer the following questions:
PLEASE ENTER INFORMATION CAREFULLY ERRORS WILL CAUSE DELAYS IN ACCESSING CHAMP.
Do you agree to ensure your information is COMPLETE and ACCURATE?

Yes, I will enter COMPLETE and ACCURATE information.

CHAMP User's Information (U)

Complete this form with the information of the User who's account you need to update.
CHAMP User's Name

First NameLast Name
Email
example@example.com
*Provide the email address you want the updated account to be associated with.
What is the CHAMP user's phone number?
Failure to provide a valid phone number will result in a rejected request.
Where does this user work? (U)
Where does this user work? (U)
Selecting the wrong CHAMP User Role will result in significant delays to accessing CHAMP.

If you are not sure which to select follow the instructions below:
- Check in with your supervisor on which of the above CHAMP user role to select.
- Ask colleague who has a similar job function as yourself use the image below to help guide where to find a user's role in CHAMP.
Which CHAMP User Role have you been directed to select?

CBESTInterim Housing (IH)Permanent Supportive Housing (PSH)Property Related Tenant Services (PRTS)Referrer
Which of the following best describes you?

Case ManagerProgram Manager (Oversee Case Managers)

User's Supervisor Information (U)
The role selected requires the user to have a Supervisor linked the account. Please provide the CHAMP ID for this user's supervisor.
- To locate the CHAMP User ID 1) Login into the supervisor's CHAMP Account 2) From the home page navigate to "Tools" 3) Select "My User Configuration" then "My Information" 4) You'll see the "User ID" listed.
- If the user's supervisor is not active or doesn't not yet have a CHAMP account please provide the CHAMP User ID of an alternate supervisor who is currently active in CHAMP. Failure to provide a valid supervisor will results in a rejected request.
What is the user's CURRENT Supervisor's CHAMP User ID?
Use the guide below to find the CHAMP User ID
Supervisor's First and Last Name

First NameLast Name
Supervisor's Email

Confirmation Emailexample@example.com

New Users must attend training to access CHAMP please answer the following questions to confirm if this user needs training.

Confirming New Account (n)
Has the user ever had a CHAMP account before? (N)

YesNo
Has the user logged into their CHAMP account in the last 12 months? (N)

No, they have NOT used CHAMP in the last 12 months.Yes, they have used CHAMP in the last 12 months.I am not sure

You said the user has had a CHAMP account, what CHAMP user role did the user have? (N)
Support:
- To locate your user role, login to CHAMP and you'll see your user role displayed on the home page.
- If you don't know and do not have access to your CHAMP account select "I am not sure."
Which CHAMP user role did the user have in their previous account?
For support locating the user role see below.

Because the user already has an account, that they've used in the last 12 months and is the same user role type as requested no training is needed.
What other support does the user need for their CHAMP account?

Update my existing account (i.e Change from case to program manager role, Organization Name and/or Supervisor)Locked out of account/ Can't login / Password IssuesNo account changes are needed user needs training as a refresher.

Deactivation (D)
Deactivation/ Termination Effective Date

YearMonthDay
Date
What is the first and last name of the person who is authorizing this deactivation request?

First NameLast Name
What is the email of the person authorizing this request?
example@example.com
What is the job title of the person authorizing this request?

Confirming Existing User Last Login (E)
Has the user logged into their CHAMP account in the last 12 months?(E)

Yes, they have used CHAMP in the last 12 months.No, they have NOT used CHAMP in the last 12 months.I am not sure

Updating an Existing User (E)
What CHAMP Environment does this change need to be made in?

Training (CHAMP Testing Environment)Production (CHAMP Live Environment, must have already completed specific training for user role)
Has the organization the user works at changed?

YesNo

Updating the User's Organization (E)
What is the name of the user's PREVIOUS organization?
What is the user's email associated with PREVIOUS CHAMP account?
example@example.com

Updating the User's Role (E)

Chaning roles sometimes requires additional training let's check if the user need training
Do you need to change this user's role in CHAMP?

Yes, the user's role has changedNo, the user's role has not changed
What is the OLD user's role? (All)

Updating User's Supervisor (E)
Are you now a supervisor?

YesNo
Do you need to change the supervisor this user's account is linked to in CHAMP?

Yes, this user has a new supervisor in CHAMPNo, this user's supervisor has not changed

Last Login (L)
Has the user logged into their CHAMP account in the last 12 months?(L)

No, they have NOT used CHAMP in the last 12 months.Yes, they have used CHAMP in the last 12 months.I am not sure

Based on your responses this user will need to attend training in order to access CHAMP. (U)
Please agree to the statement below

I understand I'll need to attend training to gain access to CHAMP

Please Contact the Enterprise Help Desk (L)

See details below.
Since it's been less than 12 months since you logged into champ the Help Desk can reactivate your account use the information below.

Enterprise Help Desk Contact Information:
(323) 409-8000

Welcome CBEST Users
For support with CBEST user requests please contact Betania Rios - brios@dhs.lacounty.gov

Submitter's Information (U)

Please provide your contact information in case we have issues with this request. You'll be copied in email response's related to this request.
Did you submit this request for yourself or someone else?

For MyselfFor Someone Else
Submitter's First and Last Name

First NameLast Name
Submitter's Email Address
example@example.com
Submitter's Phone Number
Please enter a valid phone number.

To best support you please answer the following questions: