Report Request Form

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Report Request Form = v.1.0 - For Internal Use Only

Requestor Information
Requestor Name:
Date Submitted:
Phone #:
Date Needed:
Requesting Department:
Requestor Email Address:
General Report Information
Please describe the information that you need in this report and how it will be used.
Will this report contain
Confidential Information?
Yes No
Title of Report:
Who is the intended audience?
Internal External Both
Does a report like this already exist?
Yes No
Current Report Name:
If yes, please be prepared to provide a sample of this report to the developer.
How often will this report be run?
Daily Weekly Monthly Yearly Each Semester On Demand
How do you want this report to be delivered?
Printed Copy Electronically
File Format:
Report Specifics
How would you like the report sorted?

What summary info do you need (e.g., totals, counts, percentages)


Please list Banner forms or screens that you currently use to view some of this information if you can

Employee Signature:
Supervisor Signature: