Type of Data RequestedData Request Agreement • March 24th, 2022
• Registered Voters with history will only list voters who have participated in at least 1 of the elections selected for history
GREENE COUNTY ASSESSORS OFFICEData Request Agreement • August 17th, 2011
Purpose: This form is provided to allow individuals or companies to request data from the Greene County Assessors Office in a specific easy to follow format. In addition to this form a Data Request Agreement will need to be signed once the cost of the request has been calculated.
Alaska Section of Epidemiology Summary Data or Limited Data Set Request and Utilization Agreement FormData Request Agreement • November 15th, 2023
Please complete the following form to request summary data or a limited data set (LDS) from the Alaska Section of Epidemiology (SOE). Depending on the details of the request, SOE may further aggregate data according to the “Rule of Ones.” See SOE Confidentiality Policies and Procedures and Data Release Protocols, page 14; available at: https://health.alaska.gov/dph/Epi/Documents/confidentiality/SOE_ConfidentialityPPData.pdf .
DATA REQUEST FORMData Request Agreement • January 24th, 2013
Requester name Organization Program E-mail address Mailing address (number and street) City, state and zip code Telephone number Fax number Date of request Desired completion date Detailed description of data request: (Please be as specific as possible, e.g. demographics, years, location, etc.) What question(s) do you need answered? What year(s) do you need information for? What is the purpose of the data requested?Who is your audience? What delivery format do you need? □ Paper □ Electronic (email) □ Other: Provisions of this agreement: All documents, presentations, etc. that use the information provided must cite the Epidemiology Program, San Joaquin County Public Health Services, as the source. Use the data provided only for the purposes stated in the data request form and do not release it to any third party, unless you obtain prior written approval from the Epidemiology Program. Any conclusions or interpretations reached by the requester and not by the Epidemi
ContractData Request Agreement • May 13th, 2019
MALHEUR COUNTY GIS 251 B ST W, VALE OR 97918 PHONE: (541) 473-5574 DATA / MAP REQUEST INFORMATION DATE OF REQUEST DATE OF DELIVERY NAME: ORGANIZATION : ADDRESS CITY, STATE, ZIP PHONE NUMBER DATA REQUESTED DATA FORMAT 🞎 Shapefile 🞎 Geodatabase 🞎 Map 🞎 Data Table TRANSFER METHOD 🞎CD 🞎Email 🞎FTP site 🞎Paper 🞎.PDF 🞎Others Details MISCELLANEOUS:
