Data Request Form UMC Utrecht

Data Request Form UMC Utrecht

Applications for data access can be submitted by filling out this form and sending it to the UMC Utrecht by clicking on the button [Submit] at the end of the form.

Research support staff in the research departments/divisions (data manager, legal, privacy ed.) will review and consider applications and respond within 6 weeks. Applicants must provide full contact details of their institution. Please use your institute email addresses as private email addresses are not accepted. Incomplete applications will not be taken into consideration.

For more information please refer to the page about the Research Data policy of the UMC Utrecht

Data Request Form UMC Utrecht

By Filling out this Data Request Form you give us your consent to process your personal data and the information that is submitted to handle your request. We shall keep all information confidential and process the data in accordance with the GDPR.


Principal investigator


Participating researcher

Please state all researchers and affiliations, including consortium members and collaborators, who will have access to the data. If there are more participating researchers, please file the attached document below this form and upload it. 

Description of requested data

Research context 

Briefly describe the context for your project (maximum 200 words).


Statistical methods

Please state the statistical methods you are applying during your project:

- What is  the sample size for your project (include a sample size calculation, or explanation of why you do not include a sample size calculation)?

- What statistics measures will you use?

- What is the study design and study population? (which data do you require from which subjects?)


More participating researchers uitklapper, klik om te openen

Fill in and attach this form in case of more participating researchers. 

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