External (non-BEDHD) Data Requests

To make a data request, please complete the online data request form. Community agencies and the general public may complete the External (non-BEDHD) Requests Form.

Name Name * First Last
Agency *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *
Date data needed by Date data needed by * / MM / DD YYYY
Data Type *

Please provide detailed information about the data being requested. Define the demographic group (i.e. age, race/ethnicity, gender, etc.), timeframe (specific years, months, etc.) and geographic interest (Barry County, Eaton County, Barry-Eaton District, etc.)
Purpose *

Briefly describe how data will be used.