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Research Information Request

2. Instructions:
   If you are conducting a research project that requires data from CFPUA, please fill out this form to request specific data or information. Please read the form carefully and be as specific as possible to ensure a timely response.
4. First Name*
5. Last Name*
7. Date of Request*
   Date of Request
8. Email*
9. Phone*
11. Organization Name*
12. Lead Researcher*
14. Research Description*
16. Description of Requested Data/Information*
    Please be as specific as possible.
20. By signing this form, the requestor agrees to the following:
    All sampling results will be shared with CFPUA as soon as the results are available; All findings from this work (draft and final) will be shared with CFPUA prior to publishing; All papers, reports, presentations, etc. will be shared with CFPUA for review and comments prior to being finalized and published; CFPUA shall be notified when the direction or scope of the original study changes.
22. Requestor Full Name*
23. Date*
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field