Institutional Privacy Committee

Form Download

Sample Data Use Agreement (DUA) Template

Please choose from the following formats:

• Download the form to Microsoft Word
• Download the form in PDF format (you will need Adobe Reader to view or print the form).
• View the form online (this will open the form in a new window for printing purposes).

Please note that the Microsoft Word form can be filled out in Word, saved, then sent via an e-mail attachment to IPC.