* Indicates a required field.About DukeCard Data Requests In connection with its administration of the DukeCard program, Duke University collects information outlining the locations, dates and times where DukeCards have been swiped. While card swipe data an be of use for a variety of reasons, the Executive Vice President sets the rules for disclosure of the data and reviews requests for access to identified data released from the DukeCard system. As such, we strongly recommend that requests be limited to aggregated data elements, rather than individual swipes. DukeCard Office will not provide data related to building or public safety issues. Such requests must be initiated through Duke University Police. DukeCard will not provide any combination of data that compromises FERPA or HIPAA regulations. Report Requestor Contact Information Requestor Name * Requestor E-mail * Requestor Phone Number * Requestor Duke Unique ID * Department or organization name * Report Description What Type of Report Do You Need? * - Select -Space Utilization or Property IssuesService ImprovementEvent AttendanceOther Request If you answered "Other Request" please describe: What data do you need? (select all that apply) * Access date(s)/time(s) Cardholder name DukeCard number Duke Unique ID number Email address I only need de-identified information Other If you answered "Other" please describe: How often do you need this report? one time onlydailyweeklymonthlyquarterly Report Frequency Report Frequency - one time only Report Frequency - daily Report Frequency - weekly Report Frequency - monthly Report Frequency - quarterly When would you like to receive this report? MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20212022202320242025 Year List all report recipients and their email address Purpose of Report Please describe what the data will be used for and how long the data will be used: If you are requesting event attendance data, you must notify attendees the day of the event about your opt-out process and what their data will be used for. Please verify you will have an opt-out process in place. Yes No Please describe your opt-out process: Where will the data be stored and who will have access to it? * Additional Information Please tell us anything else we may need to know. Acknowledgement By submitting this request, I understand that the data I might receive is restricted in nature, must be kept secure and may not be shared with anyone else without express approval of the DukeCard Office. Violation of this acknowledgement may result in revocation of any approved request. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
