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Data Request for Research Form

Instructions for use:

  1. To submit a request online please complete parts A, B, C and D and read the TOH Privacy Policy. A copy of the completed form will be sent to the email address you provide in Part A.
  2. You may also download and complete the PDF version available below using Adobe Acrobat. If you attempt to complete this form without downloading and saving first, you will not be able to save the changes.  Please email the completed PDF to research@rppeo.ca or print and fax (613-737-1028) to the RPPEO.
    pdfData Request for Research Form Download

Part A: General Information

Principal Investigator Contact Information

Please enter your first name.
Please enter your last name.
Please tell us where you work
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Please enter a valid email address
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Part B: Description of Research Project

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0/750

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Part C: Description of Data

0/500

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Please select the service(s)

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0/500

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Name(s) of study staff* that will be using data (including email):

* As per the Data Transfer Agreement Section 4(A), study staff permitted access to the data must have signed a confidentiality or non-disclosure agreement with your institution.

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Part D: Security

Please review the TOH Policy and check the box to continue.
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RPPEO USE ONLY

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