Please submit any DCDEE data request by completing the form below. Email DCDEE.Data@dhhs.nc.gov if you have any questions.

Please note: Research requests for DCDEE data are approved on a case-by-case basis. Approval is contingent on program responsibilities, priorities, and available resources, such as: the scope of the request and data; the difficulty of identifying, locating, and extracting the data; the number, type, and breadth of data requests already in progress; mandatory reporting and other data-related legal requirements; and the type and amount of protected information comingled with researcher-accessible data. Once approved, research requests may take longer than expected to process and DCDEE may not be able to guarantee a specific completion date.

Question Title

* 1. Please enter today's date.

Date

Question Title

* 2. Please select the category(ies) of the request.

Question Title

* 3. Requestor Name

Question Title

* 4. Requestor Title/Role

Question Title

* 5. Requestor Agency/Organization

Question Title

* 6. Requestor Email

Question Title

* 7. Requestor Phone

Question Title

* 8. What is the date by which you need the requested information?

Date
Describe your data request. Please include:

Question Title

* 9. The question(s) you are trying to answer

Question Title

* 10. The specific data elements you require including date range and geographical area needed

Question Title

* 11. The intended use of the data

Question Title

* 12. Will the data be shared publicly?

Question Title

* 13. Any additional information relevant for this request

Thank you for taking the time to complete the form.  Please review your answers and then click "Done".