DATA REQUEST FORM
                                           Human Resources, HR Service Center
                                           Skytop Office Bldg,   443-4042

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 in the University Policies web site.

For mailings that include the Chancellor, Provost, SVP's/VP's, and/or deans/associate deans, a sample of the mailing must be provided to the Office of Human Resources and be approved by the associate vice president - chief human resources officer.

Each request for data must be submitted separately and 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 the approval of the Associate Vice President-Chief Human Resources Officer.

The fee is $26 per file. HR must receive an ID before a request can be processed.

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

*Allow 2-3 days for processing once request and ID are received.

Name: Date:
Department: Phone:
Campus Address: Fax:
E-mail Address:    

Billing ID:

The Office of Human Resources must receive the hard copy of this ID before a request can be processed. IDs may be submitted through campus mail or delivered to the Office of Human Resources. Faxed or e-mailed IDs are not accepted.

Initials: I have read and agree to the Access to HR Data Policy

Intended use: Mailing description/purpose:
Department Mailing
Other
Please note: The status of 'Regular' means that these individuals are eligible for the standard university benefit plans.
To customize your request please use the "Other, please specify" box below.
Data Needed:  
Chancellor, Provost, SVP/VP, Deans/Associate Deans  
Academic Deans, Directors and Dept Heads  
Deans and Directors  
Deans, Directors and Dept Heads (includes above three lists) NOTE: data lists are provided for one-time use only.  
Deans, Directors and Dept Heads, all Faculty and Exempt Staff  
Academic Department Heads and all Faculty  
Adjunct Faculty  
All Faculty including Adjuncts  
All New Hire Faculty including Adjuncts (please include date range in the "other" section, below)  
All Faculty (including Adjuncts) and Teaching Assistants  
All Faculty (including Adjuncts) and Deans, Directors and Dept Heads  
Regular Faculty (Full and Part Time)  
Regular Faculty (Full and Part Time) and Deans, Directors and Dept Heads  
Regular Full Time Faculty  
Regular, Full and Part Time Faculty and Staff, (no Adjunct, student** or temp employees)  
Regular, Full and Part Time Faculty and Staff A&S and Maxwell only, (no Adjunct, student or temp employees)  
Regular, Full Time Faculty and Staff (no Adjunct, student or temp employees)  
Regular, Full Time Faculty and Regular non Bargaining Unit Staff (no Adjunct, student or temp employees)  
Regular, Full and Part Time Staff (no Adjunct, student or temp employees)  
Regular, Full and Part Time, non Bargaining Unit Staff (no student or temp employees)  
All Non-Student Staff (includes temps)  
All Non-Student Faculty and Staff (includes Adjuncts and temps)  
All SU Employees including student and temp employees  
All Graduate Assistants (includes RAs, TAs and GAs)  
All Bargaining Unit Employees  
Bargaining Unit requests include employees in the following Collective Bargaining Units:
  • Adjuncts United
  • Local 317, International Brotherhood of Teamsters
  • Local #532, Security Police and Fire Professionals of America (SPFPA)
  • Local 200United, Service Employees' International Union (SEIU)
Minority Faculty and Regular Staff (no students, no temps)  
Salaried African American and Hispanic Faculty and Staff (no students, no temps)  
Non-Student Part Time and Temp Employees (includes Adjuncts)  
Retirees, home address  
Local Retirees, home address (zipcode begins with '13')  
SU Magazine List (Regular Staff and Faculty, excluding SU alumni)  
Other, please specify:

Additional Information - check all that apply
Employee Status: Address Information:
Active Campus Address
Leave of Absence E-mail Address

Special Instructions/Sort by:
(Examples: sort by last name, sort by department, list additional fields needed.)
E-mail address where Excel file should be sent: 

**The 'student' classification includes undergraduate and graduate student employees.


Revised - 08/06