Site Metrics and Web Analytics by NextSTAT

Council of State Archivists (CoSA)

CoSA home | CoSA Site Map


Forms Used by
State Archives and Records Management Programs

Updated April 7, 2007

Florida

Publications & Forms for Records Managers
http://dlis.dos.state.fl.us/recordsmgmt/publications.cfm

Records Storage Transmittal Forms
http://dlis.dos.state.fl.us/recordsmgmt/publications.cfm

  • Records Retention Schedule
  • Records Disposition Document
  • Transmittal and Receipt for Records Storage
  • Request for Reference Service
  • Request for Return of Reference Service Work
  • Records Storage Box Labels
  • Request for Non-SRC Records Disposal - Request for Non-SRC Destruction and Non-SRC Destruction Box Label
  • Records Inventory Worksheet
  • Transmittal/Receipt Transfer of Public Records to the Florida State Archives

Publications and Forms for State Archives
http://dlis.dos.state.fl.us/barm/pubforms.html

  • Form 105 - Records Retention Schedule (WORD Version) (ACROBAT Version)
    Records Disposition Document (WORD Version)
    Form 201 & 202 - Transmittal and Receipt for Records Storage (WORD Version) (ACROBAT Version)
    Form 203 - Request for Reference Service (WORD Version) (ACROBAT Version)
    Form 206 - Request for Return of Reference Service Work (WORD Version) (ACROBAT Version)
    Form 807 - Transmittal/Receipt Transfer of Public Records to the Florida State Archives (WORD Version) (ACROBAT Version)
    Records Storage Box Labels (2 per page or 3 per page)Instructions for preparing boxes for transfer
    Request for Non-SRC Records Disposal - NonSRC Request Form and NonSRC Label
    Records Inventory Worksheet (WORD Version) (ACROBAT Version)
    Deed of Gift (WORD Version) (ACROBAT Version)
Illinois
Louisiana

Record Transmittal and Receipt Form
http://www.sec.state.la.us/archives/records/F-AR103.PDF

Request for Authority to Dispose of Records
http://www.sec.state.la.us/archives/records/F-AR930.PDF

Massachusetts

State Agency Forms
http://www.sec.state.ma.us/arc/arcrmu/rmurds/rdssaf.htm

  • RCB-1E: Application for Systems Information Management Plan.
  • RCB-2: Application for Destruction Permission.
  • RCB-2T: Application for Transfer Permission
  • RCB-4: Records Liaison Officer Designation
Michigan Records Forms for Local Government Offices
http://www.michigan.gov/hal/0,1607,7-160-17445_19273_21738-113205--,00.html
  • Record Series Inventory (HAL 507)
  • Electronic Records Series Inventory (HAL 270)
  • Local Government Records Retention and Disposal Schedule (MH-43)
  • Local Government Certificate of Records Disposal (MH-38)
  • State Archives of Michigan Direct Records Transmittal (MH-85)
  • State Records Center Records Transfer Request (HAL 2112)
Minnesota Application for the Disposal of (PR-1) and Transfer of Records
http://www.mnhs.org/preserve/records/recser.html#forms
North Carolina Government Records Branch Forms
http://www.ah.dcr.state.nc.us/records/forms.htm
South Carolina Record Center Transmittal form
http://www.state.sc.us/scdah/techlflt.htm#forms
Utah Online Forms
http://www.archives.state.ut.us/main/index.php?module=Pagesetter&func=viewpub&tid=1&pid=206
Virginia Online records management forms
http://www.lva.lib.va.us/whatwedo/records/forms/index.htm
 

Questions or concerns? Contact CoSA at info@statearchivists.org.
Last updated: April 7, 2007 .