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* 1. Enter your contact information

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* 2. Enter your job title

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* 3. Provide a summary of your research request, including the information/data you need and your purpose for this information.

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* 4. Please attach any files we need to answer this request.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 5. In what format do you prefer the response?

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* 6. When do you need this request completed? Due date should be two weeks or later than the date this form is submitted.

Date / Time

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* 7. If you need this request sooner than two weeks, please explain why:

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* 8. Is the data/information you are requesting to be used in a project that you are working on with DED staff?

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