Data Request Form

Fields marked with an * are required

Type of Organization

Organization Name

Position Title

Address

Data Request Specifics:

Please describe your data request with as much detail as possible

Geographic Areas (Please specify; e.g., all Missouri, county specific, zip code, etc.)

If you already have a file with the needed zip codes or counties, please upload it here (only .xlsx or .csv versions)

Regulation Type

Facility Type (Check all that apply)

Purpose of the data request? For what will the data be used? Is this related to a specific policy or budget?

All online data requests will be responded to with a phone call to the requesting party to determine specific needs and if a fee is required. If it is determined that additional resources , customized data, demographics, data/geographic visualization or data analysis is required, the request will incur a fee of at least $50, depending on the complexity of the request.

Please check the following boxes for a preliminary assessment of potential fees and/or an estimate of the fee amount. If it is determined that the request requires additional resources , customized data pulls, demographics, data/geographic visualization or data analysis, it will incur a fee of at least $50, depending on the complexity of the request.

Basic data pull with minimal processing time (i.e., Facility Name, Location, Regulation Type, Facility Type, Licensed Capacity and Age Range).

Additional program data details such as: self-reported program information (e.g., Cost of care, Transportation, etc.), Accreditation Status, T.E.A.C.H. Sponsor, Subsidy, etc.).

Summary / organization of data request beyond Basic that requires additional processing.

Demand demographics (US Census, American Community Survey, etc.).

Data Analysis (including meaningful insights, calculations or statistical analysis).

Data Visualization (i.e., graphs, charts, etc.).

Geographic Visualization (i.e., displaying information in a map/graphical form utilizing mapping software).