Data Request/Inquiries
SFTA DATA REQUEST FORM
- Name of Agency
- Name of Individual Requesting
Information
- Date of Request
(mm/dd/yy)
- Agency Address
- Phone Number
- Fax Number
- Email Address
- Description of Data Request /
Needed
- Describe How Data will be Utilized
- Level of Urgency
High
Medium
Low
(Please provide date in next field #11) - Date by which Data Needed
(mm/dd/yy)
- Data Format Preference
Excel
Access
SAS
Text File

Heading using the h3 tag
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