Updated research request forms and data security approval requirement effective 4/24/23
Purpose of this document
The State Specifications Worksheet is required for all state agency requesters. It collects detailed requester information, study/project data extract details, shipping information, and method of payment. It also includes a Part D event justification tab that is required for all requests that include Part D data. The State Specifications Worksheet is used by the data distributor to generate a cost invoice and to collect data extraction information.
Note: There are other versions of the specifications worksheet for qualified entities and all other RIF requests.
Who uses this document
All state agencies submitting RIF requests must include a complete a State Specifications Worksheet.
Document Version:
11/2023
Format:
Microsoft Excel