Records Transfer Memo

* 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.


Section 1: Contact Information For Person Making Request

Customer Information:

 
Department *  
Contact Person *  
Phone *  
E-mail *  
Address *  
City *  
State *  
Zip *  


Section 2: Originating Material Location

 
Department *  
Contact Person *  
Phone *  
E-mail *  
Address *  
City *  
State *  
Zip *  


Section 3: Pick Up Material From / Send Material To

Same as Contact Information For Person Making Request

Same as
Originating Material Location

 
Department *  
Contact Person *  
Phone *  
E-mail *  
Address *  
City *  
State *  
Zip *  

Please enter these numbers to complete
this request. This has been added to stop spam.