Employee Data Label Request Form


This is a request form for employee data for the sole use of campus mailing labels.  The label data will be delivered via e-mail as an excel file attachment.  Human Resources does not print labels.

The requesting department can print the labels from the department's printer or send the request to the mail room via e-mail (requests of 199 or more).  If the mail room will be processing your labels, they charge 2 cents per label, and $8.00 per hour.


All rights to the request, approval, distribution, and use of the labels are solely the property of the department of Human Resources at Indiana State University.  The intended use must relate to and/or promote ISU.  The data requested will be used for the stated purpose only (campus mailing).  The release statement must be checked.

Please fill in the following responses accordingly.  Please allow 3 days for processing for HR (6 if the mail room is printing them).


If you have any questions regarding this form, please contact Kimberly Smith ext. 4118.

Thank you.

Requesting Department:
Name and Job Title of Requestor:
E-Mail address to send the label data to:
E-Mail address of requestor's supervisor:
Phone extension:
Brief explanation of the mailing that the label data will be used for:
Please select the type of employee group(s) to receive your mailing:
Please select the fields you would like to have included in your data to be used for your mailing:
The labels will be printed in the following location:
I understand that ISU data used for mailing labels are to be used only for the purpose indicated. I agree not to reproduce or store the labels/electronic file in whole or in part. I will delete the file immediately after the labels are printed and under no circumstances is the information to be provided to anyone outside of the university.
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