Temporary Box # of _
Records Inventory & Retention Form
University of Tennessee Records Management Department 220 S. Dudley Street, Memphis, TN 38104
Phone: (901) 448-8471
Dept. Code# College#
- Department Name
- Department Account #
- Current Box Location
- Contact Person
- Contact Phone #
- Contacts Campus Address
- Dept. Head Approval Sign./Date
RECORDS MANAGEMENT SECTION ONLY
PERM. Box # Aisle Shelf Row Box Forms Received: Records Received Date Entered Destroy Date:
Records Management Department
12. How many years do you need to store these files?
11. Date Range of box contents from to
(m-d-yyyy) (m-d-yyyy)
10. File Arrangement: Alphabetical, Numerical, Other
9. Description
Summary of box contents – 39 Characters only- including Spaces – for report purposes
8. Records Title: _
15 Characters only- including spaces – for report purposes
Return completed form to 308 Hyman (Libraries/Documents/RECORDS Management/2016/New Sheet & Instructions2016)