RECORDS TRANSMITTAL AND INVENTORY FORM UWA-1 prior

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RECORDS TRANSMITTAL AND INVENTORY FORM UWA-1
The inventory must be sent to the Archives prior to the records transfer. The Archives
will verify the transfer information and then contact your office to make arrangements for
physical transfer of the material.
Do NOT send records via campus mail or truck service without PRIOR
AUTHORIZATION from the Archives. The Archives will need to know the total volume
and the anticipated date and time of transfer.
Please use State Record Center cartons (MDS #3191, 1 bundle of 10) or (MDS # 3189,
1 bundle of 5). If your material does not fit in these cartons please call us. No hanging
files, please. Packed cartons should not be so tight that the handles are un-useable.
After completing the inventory, please send a copy to UW-Madison Archives, 428
Steenbock Library, 550 Babcock Drive. Contact the Archives (262-5629) for assistance.
Accession Number and Location (Assigned by the Archives):
Accession Number:
Location:
1. Name of Transmitting Office:
2. Title and Dates of Records:
3. Volume of Records:
4. RDA Number:
5. Comments:
6. Full Name of Person Preparing Shipment:
7. Office Address:
8. Telephone:
9. Email Address:
10. UDDS:
11. Date of Transmittal:
12. Do these records contain any of the following:
Yes/No
Social Security numbers of students or UW staff?
Information pertaining to medical or personnel history?
Information relating to performance evaluations?
Information pertaining to salary negotiations or personal financial matters?
INVENTORY
TITLE
BOX #
FILE #
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