Employees : Data Use Agreements

Data Use Agreement Web Form

Please complete the form below to request a Data Use Agreement. We will determine if an agreement is required and begin the process, if necessary.

All fields are required and you must click the Submit button at the bottom of this page. This form should only be completed by a member of the University’s workforce.

All fields with an * are required.

Contact Information

About the Data

Is the data being provided or received?

Provider/Recipient Contact Information

Description of Data

Purpose for the collection of data

Please select one and explain.