HR Data Request Form
Name of individual completing this form.
Public Safety Division requesting report.
Adult Correction Juvenile Justice
Juvenile Justice Division
Operations & Strategic Planning
Samarcand Training Academy
State Bureau of Investigation
State Capitol Police
State Highway Patrol
This report was requested by Executive Managment
Agency Head, Executive Directors or Department Chairs.
If yes, provide name and title
Provide requester's First/ Last Name and agency Title.
If this request is from an External Source, please state the source, requester's name and email address below.
N/A if not applicable
Report Output Specifications
Use the area below to tell us more about the report you are requesting today.
Note: Priority level is taken into consideration and further evaluated based upon other pending requests.
What is the nature of this request
Provide a detailed description of the report request.
This is a reoccuring report request
What field(s) are needed in this report?
Select all that apply.
Length of Service
Employee Pay Level
Employee Pay Group
Agency Hire Date
Supervior (BEACON ID)
Job Pay Level
Job Max Pay Level
Job Min Pay Level
Days Vacant(Total #)
Separate all additional fields with a comma(,)
List any additional features required for summary and analysis.
Tables (pivots, etc.), Charts, Graphs and/or filters.
Does this report require any subtotals/grand totals of the data?
If yes, Please explain.
What is the intended purpose of this data?
Briefly, explain how this data will be used once generated.
List email addresses for all individuals who are to recieve a final copy of this report transmittal.
Send me a copy of my responses
Your submission is being processed. Please do not close this browser window until complete.