Please check the impact dashboard to confirm the information you are requesting is not already available before submitting your data request below.

Data Request Form
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Name
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*211 Iowa cannot guarantee that we can complete your data request by the need by date, but we will do our best to fulfill your request.
Timeframe for data

Location You Are Requesting Data For

Types of Count (you can select multiple)
Agreement
If the data you are requesting is already available through the public IA 211 dashboard we will direct you to the dashboard.