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Data & Statistics
Application Process for Identifiable Data

Frequently asked questions (PDF).

Application Submission

Submit original application PDF to Include vital data element list(s) with justifications for direct identifiers, HIPAA-sensitive variables and literals. Include Section F, when applicable. The submitted application may be amended and returned to you with questions from the Office of Vital Statistics. Your request will be assigned a log# that is to be used for all correspondence (email subject headings, file names, etc.) concerning the request.


Once application has been finalized, obtain signatures and notary for affidavits associated with this project. Submit to Please include your application log # on all email correspondence. Notarization is not required for New York City Department of Health and Mental Hygiene projects.

Obtain signatures for all necessary affidavits.

You may be contacted by the Health Department for additional information.  Some requests may require a fee to process.

Please allow 4-8 weeks to process your application.