Data Request Form

This data request form is only to be used to request data not found on the UH-IR website. We will process the request as quickly as possible but it may take up to two weeks to complete the request.

Date of Request
(Enter today's date)
Name of the Requestor
Phone *
Fax
Email address
UH Mail Code
(if applicable)
Street Address
(if applicable)
Enter date needed by
Enter date (do not use ASAP)
Reason for request *
Describe information needed *
(please be specific)