AIMS DATA REQUEST FORM

Most reports require at least one week or more lead time from the date the request was sumitted.

  1. xxx-xxx-xxxx

  2. General Report Description

  3. If Research is selected please enter IRB# Below
  4. List of data elements needed.
  5. Most request require 1 week or more lead time.

  6. Supervisor Information
  7. First Last name
  8.  


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