Information Processing and Transmission Intake Form
Complete this Information Processing and Transmission Intake Form to submit your non-sensitive request for information processing or transmission. All fields are required to ensure accurate handling.
Full Name of Requestor
*
First Name
Last Name
Organization or Department
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Project or Request Title
*
Type of Information to be Processed/Transmitted
*
Please Select
Data File
Document
Report
Media (Audio/Video/Image)
Other
Brief Description of Request
*
Preferred Method of Transmission
*
Please Select
Email
Secure File Transfer
Cloud Storage Link
Internal System
Other
Desired Completion Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Urgency Level
*
Standard
Expedited
Special Instructions or Notes
Submit Request
Should be Empty: