Submit a request

Thank you for submitting a New User Signup request. If you are currently experiencing a Sandata issue requiring support. Please complete your new user signup form, then click on the Submit A Request button at the top of the page and submit your request separately so that we are able to assist you in a timely manner.

If you do not know your organization's Medicaid ID number, please enter "Unknown" in the Medicaid ID number.

Your STX, or company ID number (enter 'unknown' if you do not know this ID number)