HUMAN RESOURCES DATA REQUEST FORM
Human Resources
DATA REQUEST FORM
To be completed for all Human Resource data requests.
Name ____________________________________ Phone __________________
Department ____________________________________ Email __________________
What is the purpose of this report?
__________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________
What information do you require? Please specify each individual field or data element to the best of your ability (ex: address would be “street address”, “city”, “state” and “zip”).
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What criteria do you wish to filter this data? (ex: bargaining unit, years of service, status)
__________________________________________________________________________________________________________________________________________________________________________________________
What sorting or grouping do you need? (ex: group by department, sort by last name)
__________________________________________________________________________________________________________________________________________________________________________________________
In what format do you want the output? (ex: electronic, print – some reports only available in print)
_____________________________________________________________________________________________
By what date will you need this information? _____________________________________
Rev. 12/2008
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OFFICE USE ONLY Date of Request: _________________
AVP-HR Approval: ____________________________ Approval Date: _________________
Date of Completion: _________________________
Notes: _______________________________________________________________________
________________________________________________________________________________
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