Child Death Review Case Reporting System Data Use Agreement

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16. Investigators understand that once a proposal for use of the dataset is approved, NCRPCD may acknowledge publicly the investigators' names, institution, and name of the study as partners working with the CDR Case Reporting System data. 17. The sharing of this dataset for the purposes stated in the approved project does not imply, in whole or in part, that the topic of the approved project has not been investigated before, or will not be investigated now or in the future, by other investigators interested in this topic. 18. Any additional or other use of this dataset except as described in Investigators' Application for Data will be considered a breach of this contract, unless agreed upon in writing by both parties beforehand. 19. Investigators will assure compliance with the security measures described in the Application for Data. 20. When the proposed analyses are completed, all copies of the dataset will be destroyed with a cross -cut shredder or returned to the NCRPCD upon completion of project plus three years. All electronic versions of the dataset will be deleted. Written confirmation that the dataset has been destroyed or deleted is required. 21. By signing this document, Investigators agree to be responsible for compliance with the conditions of this agreement and agree to these conditions by their signatures below. 22. Cost -reimbursement for the time and expenses spent by MPHI staff to compile the data file requested by Investigators will be invoiced to Investigators after the work is complete. The invoice must be paid in full to Michigan Public Health Institute prior to release of the data file. 23. NCRPCD may terminate the Contract for Data if the Investigator is in violation of any condition of the agreement and such violation is not remedied within 30 days after the date of written notice of the violation. Principal Investigator: Name: Organization: Address: Email address: Signature: Title: Phone: Date: 27