Document YD0Dyw62jaLMMy55K9nKjbrrD
CM
CHEMICAL MANUFACTURERS ASSOCIATION
June 21,1995
Dorothy S. Harshbargar State Registrar and Director State of Alabama Department of Public Health Normandale Mall 572 E. Patton Ave. Montgomery, AL 36111
Dear Ms. Harshbargar:
An Application for Release of Vital Records Information for Research Studies is enclosed. A similar application signed by Applied Epidemiology Inc. was sent to you directly on April 28,1995. A copy of the AEI application is enclosed. At this time, CMA is seeking your permission to transfer the previous records, 1942-1982, from ENSR to Applied Epidemiology Inc. If you prefer, you may sign the enclosed Permission to Release Death Certificates for an Epidemiology Study from ENSR to AEI.
An NDI Application to update the Vinyl Chloride Epidemiology Study from 1983-1992 has been submitted to the National Center for Health Statistics. Upon receipt of the NDI file search results, a request for additional death certificates along with the appropriate fees will be sent to you. As mentioned in your May 4,1995 response to Linda D. Dell (see attached), we will reference Study Number 336 in all future correspondence requesting additional death certificates. Meanwhile, your return of the enclosed signed release form will help our new contractor, AEI, to begin reformatting the previous data.
If you have any questions or need additional information, please call me at (202) 887-1192. Thank you for your cooperation.
Sincerely,
Enclosures
Hasmukh C. Shah, Ph.D. Manager, Vinyl Chloride Panel
2501 M Street, NW, Washington, DC 20037 Telephone 202-887-1100 Fax 202-887-1237
Responsible Cate'
A PublicCommitment
CMA 120518
PERMISSION TO RELEASE DEATH CERTIFICATES .FOR AN EPIDEMIOLOGY STUDY
State of Alabama
This document ie intended to grant permission to ENSR Health
4
Sciences, Alameda, California, to release death certificates (and data derived from them) for subjects belonging to the industry-wide vinyl chloride workers study described in the March l, 1995 letter from Dr. Hasmukh Shah of the Chemical Manufacturers Association and co-signed by Dr. Christian Seigneur of ENSR Health Sciences. It is understood that ENSR Health Sciences will release such death certificates (and data derived from them) ONLY to a representative of Applied Epidemiology Incorporated, of Amherst, Massachusetts, who has signed the enclosed letter to maintain the confidentiality of the death certificates and data derived from them.
Name and title of person authorized to grant this permission
Signature of person authorized to grant this permission
Date
CMA120519