UNIVERSITY OF WEST GEORGIA
Inter-Departmental Transmittal and Receipt Form
Records
Series Title
Date Transferred:
Contents
# of Containers
Transferred
How
Arranged?
University:
Dept:
Office:
Phone:
Contact Name:
Signature of Release
Old Location
Size of Container
Transfer From
University of West Georgia
University:
Dept:
Office:
Phone:
Contact Name:
Transfer To
University of West Georgia
Signature of Receipt
New Location
Comments:
Instructions for Completing the Records Transmittal and Receipt Form
Complete a separate Records Transfer Form on each Record Series (File Group) to be transferred.
1. Complete form. Signature of department head is required.
2. Send original to department receiving the records for signature.
3. After both the "Signature of Release" and "Signature of Receipt" are complete.
4. A copy is kept in the department receiving the records and the original is kept in the department releasing the records.
DISCLAIMER----THIS TRANSMITTAL AND RECEIPT FORM TRANSFERS ALL RIGHTS/CUSTODY OF THE ABOVE FILE SERIES TO THE
RECEIVING DEPARTMENT.
Approved 11/8/2005
Records Management Committee