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#

1. Department Name
2. Department Account #
3. Current Box Location
4. Contact Person
5. Contact Phone #
6. Contacts Campus Address
7. Dept. Head Approval Sign./Date
8. Records Title:
9. Description
10. File Arrangement: Alphabetical, Numerical, Other
11. Date Range of box contents from to
12. How many years do you need to store these files?

Summary of box contents – 39 Characters only- including Spaces – for report purposes

15 Characters only- including spaces – for report purposes

RECORDS MANAGEMENT SECTION ONLY

PERM. Box # Aisle Shelf Row Box Forms Received: Records Received Date Entered Destroy Date:

Records Management Department

Return completed form to 308 Hyman (Libraries/Documents/RECORDS Management/2016/New Sheet & Instructions2016)