Wednesday, December 12th, 2018

Records Transfer & Content Description Form


Department:

Division:

Classification #:

Transfer date:

Total number of boxes:

Box #
Brief Description of Contents
Date
























These records have been approved for transfer to the UACCH archives for storage. Legal custody of the records remains with the department and access is limited to the staff of that department and the Archives personnel. The department will be contacted prior to the scheduled destruction date to authorize destruction.

Division Signature: __________________________________      Date: ____________________________________

Archives Signature: __________________________________      Date: ____________________________________

FOR ARCHIVES USE
Accession Date: _____________________________________      Retention Period: _________________________

Scheduled Destruction Date: __________________________      Date Destroyed: __________________________

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