Microfilm Work Order Request

To request microfilming of your agency's paper records, please complete the following in consultation with a RIM specialist. Before records can be microfilmed, they must be scheduled as a record series by the Archives.

Name:
Email:
Agency:
Address:
Phone:

Records to be Microfilmed

Series Title:
Series Number:
Date Span to be Filmed:	to

Type of Material to be Microfilmed

Flat	Size:
Folded	Size:
Cards	Size:
Books	Size: Books come apart Books can be cut apart Books cannot be taken apart
Unbursted computer paper
Fragile (onion skin), brittle, or damaged paper
Colored paper or some colored paper
Other	Specify:

Volume or Number of Material

Count the number of pages to be filmed (do not use the printed numbers, if any, on the pages and count double-sided paper as 2 sheets) or estimate the amount of cubic feet to be filmed.

Number of sheets, cards, or pages	or
Number of cubic feet

Location of Camera

State Archives
Agency (in-house) camera
Other	Specify:
Camera number (Archives-assigned)

Copies

Do you want a copy of the microfilm?

Special Instructions or Other Comments

Page Last Updated April 28, 2011.