Request ECIDS Data Access

Personal Information

First Name*

Last Name*

Title/Credential/Degree*

Email*

Confirm Email*

Phone Number*

Organization*

Organization Website URL*

Length of time with the organization*

Supervisor Email*

Please list any additional collaborators you may be working with related to this data request.

Data Access

1. Please select the ECIDS data sources that you are interested in*:

2. What type of ECIDS data are you interested in (See a list of available reports here)?*

Other, please explain*:

3. What timeframes of ECIDS data are you interested in (See data availability for programs here)?*

4. Which regions (zip codes or counties) of Utah are you interested in, or statewide?*

Data Use

5. Please describe how you intend on using ECIDS data.*

6. Please describe the audience for your intended ECIDS data use.*

7. Please describe the format and method(s) for your ECIDS data sharing.*

8. How frequently do you intend to analyze and/or share ECIDS data? *

9. What type of analysis do you intend to do? *

10. If you know your research questions and/or hypothesis please describe that here.

Disclaimer: If access is approved by the ECIDS Data Governance Committee, users' access to ECIDS protected reports expires 12 months after the user accepts the ECIDS System User Agreement. If continued access is needed, a new access request form must be completed, reviewed, and approved by the ECIDS Data Governance Committee.