Requestor Information

Report Specifications

Report Title: (The title you want stated on the report)  

Data Fields:  (Write in below the fields in order of appearance on the report, for example: Name, Empl ID, Dept., Jobcode, etc.)

Selection Criteria

Select the criteria below.  (Example: to search for only active classified regular employees, check classified, Active, regular below.)

Effective Date options: (Which dates do you want the data to be from? Select one.)

Benefits options: (Do you want the retrieved Employees to be benefits eligible or not benefits eligible?)

Benefits Eligible Not Benefits Eligible

Position Criteria: (select all that apply)

Employee Criteria: (select all that apply) 

Other Requirements:

Sort Order: (List up to 3 fields to sort the results by)

Calculations: (List any preferred calculations to be performed on the data below)

SubTotal/Totals: (List Fields to be Summed if necessary) 

Agency Number:

Page Break Levels: 

Other:

One Time Report? Yes No - If No, List Frequency

If a similar report has previously been requested, please attach a copy of the first and last page to this request.

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