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Registry of Survivors Research Request

Getting Started

The process for making a request consists of four simple steps:

The average time required to complete the research request form from start to finish is 5-10 minutes. Please use the navigation buttons provided for your convenience at the bottoms of the pages.

Before proceeding to Part 1, please note that:

If you would prefer to submit your request by regular mail or fax, you may download a copy of the request form, which can be printed and sent by mail or fax.

To begin filling out the form to submit via the Internet, please click the NEXT button at the bottom of this page.

Questions
If you have questions about how to fill out this form, or to request a paper form be mailed to you, please send us an e-mail or call us at 866.912.4385 (toll-free) or 202.488.6130.