Records Transfer Authorization

*This form is also available in pdf or docx 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) 474-6400
University of Alaska Fairbanks
RECORDS TRANSFER AUTHORIZATION

Creating Unit (College, department, office, program, or committee):
X

 

Records contact:

 

Title:
Phone:

 

Email:
DESCRIPTION OF RECORDS
Type of records (e.g. correspondence, publications, subject files)*:

 

 

 

* [ ]Box list attached (printed and computer disk)

Dates of records:

 

Quantity:
ACCESS RESTRICTIONS
[ ] None

 

[ ] Statutory (describe):

 

 

[ ] University imposed (list applicable Regents' Policy or attach policy document):

 

 

AUTHORIZATION
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:

 

 

Date:
For staff use:

Record group:

 

Accession #:

Received by:

 

Date:

 

This page was last modified on February 16, 2016