HomeMy WebLinkAboutRECORDS REQUEST FORMRECORDS REQUEST FORM
This form is a PDF file, which you must type your information into, sign and e-mail or send by inter-
office mail to the Records Management Dept.
Please allow at least five (5) working days for your records to be retrieved and sent to your department.
Department requesting record(s):________________________________________
Requested by (your name): ______________________________Date:__________
___________________________________
(your Signature)
Full description of items requested: _____________________________________________________
(Include allTax Map Numbers)
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Records Management Use only
Request processed by: ______________________________________________
Signature Date
Record Location: Row_____ Shelf____ Box #_____
Returned to records Center by: _______________________________________
Signature Date
Notes: __________________________________________________________________
__________________________________________________________________
Please return record(s) to Records Management Office as promptly as possible after they are no longer needed.
Revised TOS 7/17/2012