Agency Letter Of Cooperation Template

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THIS IS AN AGENCY LETTER OF COOPERATION TEMPLATE
[This letter must be on the Agency Letterhead]
[This letter must be dated]
To Whom It May Concern:
I am aware that (Researcher’s Name) is conducting a research study. [You must
indicate if there is an affiliation with the agency AND identify the affiliation and the
researcher’s role OR indicate there is no affiliation with the agency]. This study
focuses on [indicate the focus of the study.] (Researcher’s Name) has shared with
me the details of his/her project.
I give him/her permission to conduct his/her study at our agency. [If the study is a
data mining study, the agency must state if the data is de-identified and if it is not,
who will de-identify the data].
(Agency) requests [EITHER the agency name and identifiers of its clients be kept
completely confidential in the research results OR the agency does not require the
name and identifiers of its clients be kept confidential in the research results].
Sincerely,
[This letter must be signed by
an official of the agency]
[The individual signing the letter
must indicate their official title]

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