To submit your data request, please fill out this request form to the best of your ability while noting that certain fields will be required. Information requested within this form include but are not limited to:
It is imperative that your request and stated purpose is as specific and detailed as possible. Lack of or limited background information regarding the purpose of your request may result in a delay in processing.
All personal identifiable data (e.g., client names, addresses, date of birth) is confidential and WILL NOT be distributed to unauthorized requestors. Further, any aggregate data summary of less than 10 data points that may present a potential breach of confidentiality will not be distributed.
The following information provides ORJ with an overview of the project for which the requested data and information will be used.
Please check all that apply.
*If you selected "Other" or "Program/Initiative", please specify the name of the program/initiative or entity you are requesting data for in the "Other" comment box.
Please select the type of format you would like to receive the final data report. Check all that apply.
The following information will detail the scope of population-related data being requested.
Please select all that apply.
Please specify the desired breakdown of age range(s), if applicable.
Please specify the desired breakdown of racial/ethnic group(s), if applicable.
Please specify the desired geographic locations (e.g. countywide; regions), if applicable.
Please specify the desired cities to be included. NOTE: City-level data can be limited and may not be available in all cases.
Please provide the date range or timeframe of the requested data.
Please provide any additional information that will assist us in developing this report.
This field is not part of the form submission.
* indicates a required field