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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 complete the form using the PDF version available below. Please email the completed PDF to research@rppeo.ca or print and fax (613-737-1028) to the RPPEO.
    pdfData Request for Research Form

Part A: General Information

Principal Investigator Contact Information

Don't be shy, please enter your first name.
Don't be shy, please enter your last name.
Please enter a valid email address
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Please tell us where you work
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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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0/200

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0/500

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

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Part D: Security

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