Records Retention Appraisal/Approval Form
Series #
Series Title:
 
Department:
Record Copy (Y/N):
Retention Periods
Non-Record Copy (Y/N):
 
Vital Record (Y/N):
Department:
Disaster Plan (Y/N):
Records Center:
Medium:
Archives:
 
Destroy:
Legal Requirements Note:
Vital Records Information:
Remarks:
Approval Signatures
Date
Director of Records Management and Archival Services
 
Unit Head:
 
Other (Specify Reason):