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For sample
answers, please refer to the
Sample Records Transfer & Inventory Form
1. Name of Transferring
Office:
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2. Types
of Records and Dates:
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3. RDA(s)
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4.
Number of Boxes:
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5. A. -
Do any of the Records contain
Confidential Information, such
as:
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5. B. -
If you answered yes to any of
the above questions, which Boxes
contain Confidential Records:
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5. C. -
If known, cite any Statutes,
Codes, or Policies that apply to
the Records:
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6.
Arrangement of the Records:
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7.
Department Administrative
History:
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Department Name
Changes/Re-organizations
and Dates:
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Department Heads
and Dates:
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8.
Person Preparing Records for
Transfer:
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9. Date
Records Inventory Completed:
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