Data Request Form

This form may be used to request mailing lists in Excel format, employee data reports, and employee population counts. The requester must abide by the Access to HR Data policy on the University Policies website.

For mailings that include the Chancellor, Provost, Senior Vice Presidents, Vice Presidents, and/or Deans/Associate Deans, a sample of the mailing must be provided to and approved by the Office of Human Resources.

Each request for data must be submitted separately and each data list is provided for one-time use for the purpose stated on the form. It is the responsibility of the requestor and the requesting department to obtain a new list from HR for each subsequent use.

Human Resources data shall not be duplicated or redistributed without approval.

Complete the information below and press the “submit” button. You will be contacted by a Human Resources representative when your request is received.*

* Please allow 2-3 days for processing.

Your Name:

Date:

Department:

Phone:

Campus Address:

Fax:

Your Email:

I have read and agree to the Access to HR Data Policy (Enter initials to agree):

Intended Use:
Departmental MailingOther

Mailing Description/Purpose:

Please note:
**The status "regular" means the individuals are eligible for the standard University benefit plans.

**The ‘student’ classification includes undergraduate and graduate student employees.

**To customize your request, please use the "Other, please specify" box below. Data lists are provided for one-time use only.

Data needed:
Deans, Directors, and Department HeadsAcademic Deans, Directors, and Department HeadsRegular Faculty (Full and Part Time. No Adjuncts)Adjunct FacultyAll Faculty including AdjunctsNew Hire Faculty including Adjuncts (please include date range in the other section below)New Hire Faculty No Adjuncts (please include date range in the other section below)All Graduate AssistantsRegular Exempt StaffAll Regular Staff (no student or temp employees)All Staff including Student and Temp employeesAll Non-Student Faculty and Staff (includes Adjuncts and Temps)Bargaining Unit Employees includes employees in Adjuncts United; Local 317, International Brotherhood of Teamsters, Local 200United, and Service Employee’s International Union (SEIU)Retirees, home addressLocal Retirees, home address (zip code begins with 13)Syracuse University Magazine List (Regular Staff and Faculty, excluding Syracuse University Alumni)Other, please specify below in special instructions

Additional Information - Employee Status:
ActiveLeave of AbsenceShort Work Break

Additional Information:
Leave lists separateCombine lists and remove duplicates

Special Instructions:

Email address where data file should be sent:

Should you have any questions, please reach out to our HR Shared Services team at 315.443.4042.

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