Records Transfer Memo

Step 3

Pick-up / Return Selection

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* Fields are required.

Please choose one of the below records transfer options:^*

Pick-up material from my office to be transferred to the record center.

Return material to my office from the record center.

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Step 4

Contact Information For Person Making Request

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CUSTOMER INFORMATION:

Company Name^*

Department^*

Contact Person^*

Phone^*

E-Mail^*

Address^*

City^*

State^*

Zip Code^*

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Step 5

Originating Material Location

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SAME AS ABOVE

Company Name^*

Department^*

Contact Person^*

Phone^*

E-Mail^*

Address^*

City^*

State^*

Zip Code^*

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Step 6

Pick Up Material From / Send Material To

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Same as Contact Information For Person Making Request

Same as Originating Material Location

Company Name^*

Department^*

Contact Person^*

Phone^*

E-Mail^*

Address^*

City^*

State^*

Zip Code^*

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Step 7

Describe your Records Transfer below:

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records storage box #	Records Description (Include alphabetical or numerical contents of each records storage box plus earliest and latest dates.)	RTM Date	Box or Document	File Type

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SecurShred will use the above information to determine the amount of time to schedule this work. If the number of boxes at a customer’s location is more than selected above, then SecurShred may not be able to complete the entire job on the scheduled date.

The SecurShred customer service team will contact you within 1 business day with a free estimate for services.