Data Request Form

This form is used for obtaining data that cannot be obtained through the current online PHR Reports. Please peruse the PHR Reports prior to making a data request to ensure the data is not available in an existing report. If the data is not available, please complete the form and submit it. Once the form is submitted, it is received by UHR Information Services and you will be contacted if there are any questions regarding your request. The expected turnaround time is within 3-5 days depending on the complexity of the request.

General Information

To:

Date:

From: Ext:

Email:

Department:

Data Request Due Date:

Do you have access to WOW or Brio Client? YesNo

Brief Description of Request:

Data Specification

How do you want the data sorted?
NameUnitUIDCategory Status

If you want the data sorted in a different order, please specify in the Brief Description of Request box.

What specific data information do you need? (e.g. Name, UID, Unit, Unit Code, Category Status, FTE)

List PHR Unit Codes (15-digit codes) from which you would like data pulled:

Types of Employees: (Choose all applicable categories)

Full TimePart TimeBoth

Special Instructions:

Justification for Data Request:

Statement of Understanding

I affirm that I have read and understand the University of Maryland Guidelines for the Acceptable Use of Computing Resources available at https://president.umd.edu. I have had the opportunity to have my questions regarding these Guidelines, or my access to and use of the Information answered. I understand providing Information for unauthorized uses or otherwise violating University confidentiality policies relating to the information may result in disciplinary action, including my dismissal and prosecution under applicable federal, state, and local laws including FERPA. If I am a student employee, I understand that misuse also may result in a referral to the Student Judicial Board.

Additional information regarding IT policies, standards, and guidelines is available at: https://it.umd.edu/governance/IT-Policies

I have read and attest to the above.

Signature (type your name here):

Last updated: June 25, 2013