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Data Request Form

All requests subject to FERPA and HIPAA regulations and rules that apply to personally identifiable data, information, and records.

All Fields Required.

Full Name:



* Some requests may take 10 days depending on the complexity.

What level of analysis requested and what is the desired format? Check all that apply:

What is the frequency in which you need this data?

Will the information/data be published or presented externally at a meeting or conference?

Please include any attachments that may be helpful (e.g. the report or table being populated).

— Limit of 5 attachments per submission
— Total cumulative attachment limit 10mb.
— Form resets if the total is greater than 10mb.

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April 26, 2019
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