Records Transfer Authorization
*This form is also available in pdf or doc format.
| University of Alaska Fairbanks The Elmer E. Rasmuson Library University Archives, Alaska & Polar Regions Dept. P O Box 756808 Fairbanks, AK 99775-6808 (907) 474-7261 |
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RECORDS TRANSFER AUTHORIZATION
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Creating Unit (College, department, office, program, or committee):
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| Records contact:
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Title: |
| Phone:
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Email: |
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DESCRIPTION OF RECORDS
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| Type of records (e.g. correspondence, publications, subject files)*:
* [ ]Box list attached (printed and computer disk) |
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| Dates of records:
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Quantity: |
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ACCESS RESTRICTIONS
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| [ ] None
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| [ ] Statutory (describe):
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| [ ] University imposed (list applicable Regents' Policy or attach policy document):
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AUTHORIZATION
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| I hereby authorize the transfer of the above-described inactive records to the University Archives, University of Alaska Fairbanks. | |
| Head of College, Department or Administrative Unit:
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Date: |
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For staff use:
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Record group:
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Accession #: |
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Received by:
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Date: |
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