Record Transfer Request

* required fields

1	*Office of Origin:
	*Records Coordinator:
	*Phone:
	*GT Email:
	*Campus building & room number:

2	*Record Type or Series:	If requesting the transfer of multiple sets of records, please submit a request for each individually. For example, submit a transfer request for different record types like accounts payable records, p-card administration records, personnel records, etc.
	*Board of Regents retention code:	Please consult the BOR records retention guidelines or records management staff to determine the retention classification.
	*Number of boxes in this set:
	*Inclusive dates of records:	Beginning Date: Ending Date:
	*Filing order of records:	If "other," please specify in the Notes/Special Instructions section.
	*Has this type of record been sent before?	yes no don't know
	*Are these records due for immediate destruction?	yes no don't know
	Notes/Special instructions:

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