Archives Transfer Sheet

To transfer records to the Archives' permanent collection, this form must be submitted once
per record series. List each box and include all the data requested. Boxes must follow
the same labeling instructions as identified in the transfer procedures for the Records Center.
We will contact you about delivery times after this form is received. If you have questions,
you may email the Archives at kenwilliams@utah.gov or call 801-531-3840. We are located
at 346 South Rio Grande, Salt Lake City, UT, 84101-1106.

Agency Information

Agency Name:
Mailing Address:
Records Officer Name:
Records Officer Phone:
Person Submitting Form:
Email of Person Submitting:

Record Series Information

Series Number:
Series Title:
Inclusive Dates of Records Being Transferred (Month/Year):	from to
Total Boxes to be Transferred:
Transfer Includes Non-Paper Records:

Description of Records Being Transferred

For each box you are going to transfer, indicate your agency box number, the dates
of what is in the box (from and to, in month/year format), and a summary of the box
contents. There is no need to list each file in each box. Line numbers have been
added for your convenience. Add as many lines to the form as you have boxes.

Example

Line, Your Box #, Dates of Contents (from and to, by month/year), Box Contents Summary (no need to list files) 1. 2004-1, from 8/1998 to 8/2000, correspondence A-B 2. 2004-2, from 9/2000 to 9/2002, correspondence C-D 3. 2004-3, from 10/2002 to 10/2004, correspondence E-F

To ease data entry, you may compile your list in word processing software, copy it
(select the text with your mouse and hit Ctrl-c) and then paste it in the textbox
below (Ctrl-v). Do not include a list of files with the boxes.

Line, Your Box #, Dates of Contents (from and to, by month/year), Box Contents Summary (no need to list files): 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. add more lines as necessary

Indicate boxes that need special care and handling, or preservation attention:

Line, Your Box #, Preservation Needs: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. add more lines as necessary

This page was last updated August 1, 2008.