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IRPE Data Request Form

You may be entitled to know what information The University of Texas at Arlington (UT Arlington) collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UTS 139. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code. For more information, see our Internet Privacy Policy.
Todays Date:
Date Required By:
Name of Requestor: *
Requestor Status
(check applicable box):
External Community
Are you requesting data on behalf of someone else?
If yes, Name:
Phone: *
Email: *
If your request is complex or lengthy, or is related to the completion of a survey, it may not be feasible to enter the description in the text box below. In that case, please attach a file that contains a scan of the survey document or other description of the data you need.
  Choose a file to attach:
Detailed Data Request:
Purpose of Data:
If you requested this data in the past, who provided the information?: