{"id":1408,"date":"2024-12-13T16:20:31","date_gmt":"2024-12-13T22:20:31","guid":{"rendered":"https:\/\/uwm.edu\/hr\/?page_id=1408"},"modified":"2026-04-06T11:32:55","modified_gmt":"2026-04-06T16:32:55","slug":"hr-report-request-form","status":"publish","type":"page","link":"https:\/\/uwm.edu\/hr\/analytics-and-systems\/data-and-reporting\/hr-report-request-form\/","title":{"rendered":"HR Report Request Form"},"content":{"rendered":"\n<div class=\"uwm-l-row\">\n<div class=\"uwm-l-col\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_26' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_26'  action='\/hr\/wp-json\/wp\/v2\/pages\/1408' data-formid='26' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Let4LkmAAAAAMDytJZITec55NB97k2BiShMXqPE' data-tabindex='0'><input id=\"input_bbaef113c6cd730897803cb236f1f21d\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_bbaef113c6cd730897803cb236f1f21d\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_26' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_26_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_26_1'>\n                            \n                            <span id='input_26_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_26_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_26_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_26_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_26_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_26_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_26_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_3'>51ÁÔÆæ Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_26_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_26_4\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_26_4'>Requestor email address valid<\/label><div class='ginput_container ginput_container_number'><input name='input_4' id='input_26_4' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_26_5\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_5'>School\/College\/Division<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_26_5' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please Choose' >Please Choose<\/option><option value='College of Community Engagement &amp; Professions-B18' >College of Community Engagement &amp; Professions<\/option><option value='College of Engineering &amp; Applied Science-B19' >College of Engineering &amp; Applied Science<\/option><option value='College of General Studies-B38' >College of General Studies<\/option><option value='College of Health Professions &amp; Sciences-B60' >College of Health Professions &amp; Sciences<\/option><option value='College of Letters &amp; Science-B48' >College of Letters &amp; Science<\/option><option value='College of the Arts &amp; Architecture-B20' >College of the Arts &amp; Architecture<\/option><option value='Division of Academic Affairs-B05' >Division of Academic Affairs<\/option><option value='Division of Community Empowerment &amp; Institutional Inclusivity-B93' >Division of Community Empowerment &amp; Institutional Inclusivity<\/option><option value='Division of Enrollment Management-B04' >Division of Enrollment Management<\/option><option value='Division of Finance and Administrative Affairs-B02' >Division of Finance and Administrative Affairs<\/option><option value='Division of Marketing, Communications &amp; University Relations-B91' >Division of Marketing, Communications &amp; University Relations<\/option><option value='Division of Student Affairs-B03' >Division of Student Affairs<\/option><option value='General Education Administration-B01' >General Education Administration<\/option><option value='Joseph J. Zilber College of Public Health-B70' >Joseph J. Zilber College of Public Health<\/option><option value='Lubar College of Business-B12' >Lubar College of Business<\/option><option value='Office of Research and Graduate School-B34' >Office of Research and Graduate School<\/option><option value='School of Continuing Education-B90' >School of Continuing Education<\/option><option value='School of Freshwater Sciences-B25' >School of Freshwater Sciences<\/option><option value='Secretary of the University-B94' >Secretary of the University<\/option><option value='University Advancement-B92' >University Advancement<\/option><option value='51ÁÔÆæ Libraries-B50' >51ÁÔÆæ Libraries<\/option><\/select><\/div><\/div><div id=\"field_26_6\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_26_6'>School\/college\/division valid<\/label><div class='ginput_container ginput_container_number'><input name='input_6' id='input_26_6' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_26_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_7'>Department<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_26_7' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_26_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >For whom are you requesting the report?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_26_8'>\n\t\t\t<div class='gchoice gchoice_26_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Self'  id='choice_26_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_26_8_0' id='label_26_8_0' class='gform-field-label gform-field-label--type-inline'>Self<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_26_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Dean\/Division Head\/Director'  id='choice_26_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_26_8_1' id='label_26_8_1' class='gform-field-label gform-field-label--type-inline'>Dean\/Division Head\/Director<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_26_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Campus Governance'  id='choice_26_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_26_8_2' id='label_26_8_2' class='gform-field-label gform-field-label--type-inline'>Campus Governance<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_26_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='HR Business Partner or Coordinator'  id='choice_26_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_26_8_3' id='label_26_8_3' class='gform-field-label gform-field-label--type-inline'>HR Business Partner or Coordinator<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_26_8_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Public Records'  id='choice_26_8_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_26_8_4' id='label_26_8_4' class='gform-field-label gform-field-label--type-inline'>Public Records<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_26_8_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Other (on behalf of campus staff\/stakeholder)'  id='choice_26_8_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_26_8_5' id='label_26_8_5' class='gform-field-label gform-field-label--type-inline'>Other (on behalf of campus staff\/stakeholder)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_26_9\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"margin: 0 0 0 0;padding: 0;font-size: 16px;font-style:oblique;color: #666666\">Other contact<\/p>\n<p style=\"margin: 15px 0 0 0;padding: 0;font-style:oblique;font-size: 16px;font-weight: bold;color: #666666\">Name<\/p>\n<div style=\"height: 38px;width: 600px;margin: 10px 0 0 0;border: 2px solid #f2f2f2;padding: 0\">&nbsp;<\/div>\n<p style=\"margin: 45px 0 0 0;padding: 0;font-size: 16px;font-style:oblique;font-weight: bold;color: #666666\">51ÁÔÆæ Email Address<\/p>\n<div style=\"height: 40px;width: 600px;margin: 10px 0 0 0;border: 2px solid #f2f2f2;padding: 0\">&nbsp;<\/div>\n<p style=\"margin: 18px 0 0 0;padding: 0;font-size: 16px;font-style:oblique;font-weight: bold;color: #666666\">Job Title<\/p>\n<div style=\"height: 38px;width: 600px;margin: 8px 0 0 0;border: 2px solid #f2f2f2;padding: 0\">&nbsp;<\/div><\/div><div id=\"field_26_10\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_26_10'>Report selected for other<\/label><div class='ginput_container ginput_container_number'><input name='input_10' id='input_26_10' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_26_11\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Please provide the contact information for the person who will receive the report<\/div><fieldset id=\"field_26_12\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_26_12'>\n                            \n                            <span id='input_26_12_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_12.3' id='input_26_12_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_26_12_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_26_12_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_12.6' id='input_26_12_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_26_12_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_26_13\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_13'>51ÁÔÆæ Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_13' id='input_26_13' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_26_14\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_26_14'>Other contact email address valid<\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_26_14' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_26_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_15'>Job Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_26_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_26_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Report Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_26_23'>(Select all that apply. Every effort will be made to accommodate new and\/or urgent report requests.)<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_26_23'><div class='gchoice gchoice_26_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='New Report'  id='choice_26_23_1'   aria-describedby=\"gfield_description_26_23\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_26_23_1' id='label_26_23_1' class='gform-field-label gform-field-label--type-inline'>New Report<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_26_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='Existing Report'  id='choice_26_23_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_26_23_2' id='label_26_23_2' class='gform-field-label gform-field-label--type-inline'>Existing Report<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_26_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='Urgent Report'  id='choice_26_23_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_26_23_3' id='label_26_23_3' class='gform-field-label gform-field-label--type-inline'>Urgent Report<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_26_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"margin: 0 0 0 0;padding: 0;font-style:oblique;font-size: 16px;font-weight: bold;color: #666666\">Existing Report Name<\/p>\n<div style=\"height: 38px;width: 600px;margin: 7px 0 0 0;border: 2px solid #f2f2f2;padding: 0\">&nbsp;<\/div><\/div><div id=\"field_26_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_25'>Existing Report Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_26_25' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_17\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_17'>Purpose For The Data Requested<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_26_17'>(Please describe what is the purpose of this request and what HR related questions you are trying to address. A detailed description of the purpose helps us better serve your information needs. The complexity of the report, or the information requested, may determine the viability of some requests.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_26_17' class='textarea large'  aria-describedby=\"gfield_description_26_17\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_26_18\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_18'>Detailed Description Of The Information Needed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_26_18'>(Include the following: Selection Parameters\/Criteria: Control Dates and\/or Specific Fields: Titles, Employee Type, Organization Unit, etc.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_26_18' class='textarea large'  aria-describedby=\"gfield_description_26_18\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_26_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Report Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_26_26'>(Select all that apply.)<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_26_26'><div class='gchoice gchoice_26_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Profile\/Detail List'  id='choice_26_26_1'   aria-describedby=\"gfield_description_26_26\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_26_26_1' id='label_26_26_1' class='gform-field-label gform-field-label--type-inline'>Profile\/Detail List<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_26_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='Summary\/Aggregate Statistics'  id='choice_26_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_26_26_2' id='label_26_26_2' class='gform-field-label gform-field-label--type-inline'>Summary\/Aggregate Statistics<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_26_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='Historical\/Longitudinal Information'  id='choice_26_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_26_26_3' id='label_26_26_3' class='gform-field-label gform-field-label--type-inline'>Historical\/Longitudinal Information<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_26_26_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.4' type='checkbox'  value='Other'  id='choice_26_26_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_26_26_4' id='label_26_26_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_26_27\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"margin: 0 0 0 0;padding: 0;font-style:oblique;font-size: 16px;font-weight: bold;color: #666666\">Specify Date Criteria<\/p>\n<div style=\"height: 38px;width: 600px;margin: 7px 0 0 0;border: 2px solid #f2f2f2;padding: 0\">&nbsp;<\/div><\/div><div id=\"field_26_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_28'>Specify Date Criteria<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_26_28' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_29\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"margin: 0 0 0 0;padding: 0;font-style:oblique;font-size: 16px;font-weight: bold;color: #666666\">Other Report Type Requested<\/p>\n<div style=\"height: 38px;width: 600px;margin: 7px 0 0 0;border: 2px solid #f2f2f2;padding: 0\">&nbsp;<\/div><\/div><div id=\"field_26_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_30'>Other Report Type Requested<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_26_30' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_31\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"max-width: 600px;margin: 4% 0 4% 0;border: 2px solid #F79651;padding: 2%\"><span style=\"font-weight: bold\">Please Note:<\/span> All reports will be provided in Excel format.<\/p><\/div><div id=\"field_26_20\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_20'>Date Required<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_26_20'>(The date required cannot be today\u2019s date. 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