RIF Request Letter Template for New Study

The Request Letter, submitted on organizational letterhead, outlines the primary purpose(s) for which the RIF data are required.

  • At the onset of your request, please only provide an unsigned, draft document in Word format.
  • The document is not formatted to letterhead or signed until the end of the ResDAC review process.
  •  The originator/signatory of the letter must be the same individual as the User/Requestor (DUA item 16).
  •  CMS does not currently accept electronic signatures.
Request Material Tips: