Reporter Report Request Form Reporter Request Form Form to submit report request for Topaz Elements Name First Last Department*Email* Phone Number*List all Fields to Display on Report*Does this report have filters? If so, indicate what should be filtered and what value. (e.g., Submitted Protocols, All cage types except __, Approved Protocols, Funding Sources, etc.) Enter No if no filters are necessary.*Does this report include parameters to be entered when the report is run? If so, indicate which field and what criteria. (e.g., Create Date between start and end, Approval Date after 1/1/2015, Delivery Date between start and end, Order Date between start and end, etc.) Enter No if no parameters should be included.*Would you like a grouping level for this report? If yes, indicate what field should be grouped by. (e.g., PI, account, order date, animal type, cage type, etc.) Enter No if no grouping levels are necessary.*Enter a brief description of the data needed that you have not already indicated in the fields above. PROVIDE AS MUCH DETAIL AS POSSIBLE.Optional File Attachment: Attach a file below if you have a file with an example of the data needed. Drop files here or Accepted file types: xls, xlsx, pdf. Date Reported Needed:* Date Format: MM slash DD slash YYYY Please allow 5 full business days for most requests. Non-standard or complex requests may require additional time to complete. NameThis field is for validation purposes and should be left unchanged.