Initial Determination â€” CCW-2026-0142 - UNM Cancer Concerns Workgroup

Use the data accessible to the CCW (NMTR registry, county/state averages, CAMSA tools) to complete this analysis. Attach any supporting documents at the bottom; they will be made available to the Workgroup at the next meeting.

Concern

Concern name

Date of receipt

Requestor name & contact

CCW point of contact

Exposures & Cancers of Interest

Exposures of interest

Cancers of interest and/or associated with exposure

Area of Interest

Area of interest

Associated Census tracts / county

Findings

Case counts

County-level analyses, findings (optional)

CAMSA / Census-tract analyses, findings (optional)

Conclusion

Recommended conclusion

Letter of no findings Proceed to full investigation

Rationale

Sign-off

Analyst name

Date of completion

CCW discussion / approval date (optional)

Action & date (optional)

Attach supporting documents (optional)

Cancel