Form AOC-A-119 "Request for Approval for Destruction of Records" - North Carolina

Form AOC-A-119 is a North Carolina Court System form also known as the "Request For Approval For Destruction Of Records". The latest edition of the form was released in December 1, 2015 and is available for digital filing.

Download an up-to-date Form AOC-A-119 in PDF-format down below or look it up on the North Carolina Court System Forms website.

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Download Form AOC-A-119 "Request for Approval for Destruction of Records" - North Carolina

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STATE OF NORTH CAROLINA
REQUEST FOR APPROVAL FOR
JUDICIAL BRANCH OF GOVERNMENT
DESTRUCTION OF RECORDS
ADMINISTRATIVE OFFICE OF THE COURTS
G.S. 121-5, 132-3
I certify, to the best of my knowledge, that the records listed below can be destroyed in accordance with the retention period established
by the Records Retention and Disposition Schedule issued by the Division of Archives and Records of the Department of Natural and
Cultural Resources, and endorsed by the North Carolina Administrative Office of the Courts, pursuant to G.S. 7A-109, 7A-343, 121-5,
and 132-3 of the North Carolina General Statutes.
I further certify that the records listed below are now in the possession of the Clerk of Superior Court. If required by rule or law, these
records have been scanned or microfilmed and if necessary, the file could be reconstructed. Additionally, any outstanding scanning
corrections requested by the NCAOC Micrographics Department have been completed.
Name Of County
CSC Point Of Contact
Contact Phone/Extension
Request Authorization To Destroy The Records Listed Below By
Month And Year Of Last Audit Completed By State Auditor’s Office (if required)
Burning
Shredding
Date Of Request
Name Of Clerk Of Superior Court
Signature Of Clerk Of Superior Court
NOTE: All sections of the table below
must be completed. See instructions on reverse
(except for the sections in the column on the far right)
side. Fax request to (919) 890-1938 to the attention of the NCAOC Records Officer.
Inclusive Dates
Approval
Retention
Retention
Record Title/Description
Or
Quantity
(to be completed by NCAOC
Page No.
Item No.
(limit requests to one case type or division per form)
File Number Range
Records Officer)
Approved?
Yes
No
Approved?
Yes
No
Approved?
Yes
No
FOR NCAOC USE ONLY
Comments (to be completed by NCAOC Records Officer)
Name Of NCAOC Records Officer
Date
Signature Of NCAOC Records Officer
RECORDS RECEIVED BY NCAOC - FOR WAREHOUSE USE ONLY
Received By (print name)
Date Received
Signature Of Receiver
AOC-A-119, Rev. 12/15
© 2015 Administrative Office of the Courts
STATE OF NORTH CAROLINA
REQUEST FOR APPROVAL FOR
JUDICIAL BRANCH OF GOVERNMENT
DESTRUCTION OF RECORDS
ADMINISTRATIVE OFFICE OF THE COURTS
G.S. 121-5, 132-3
I certify, to the best of my knowledge, that the records listed below can be destroyed in accordance with the retention period established
by the Records Retention and Disposition Schedule issued by the Division of Archives and Records of the Department of Natural and
Cultural Resources, and endorsed by the North Carolina Administrative Office of the Courts, pursuant to G.S. 7A-109, 7A-343, 121-5,
and 132-3 of the North Carolina General Statutes.
I further certify that the records listed below are now in the possession of the Clerk of Superior Court. If required by rule or law, these
records have been scanned or microfilmed and if necessary, the file could be reconstructed. Additionally, any outstanding scanning
corrections requested by the NCAOC Micrographics Department have been completed.
Name Of County
CSC Point Of Contact
Contact Phone/Extension
Request Authorization To Destroy The Records Listed Below By
Month And Year Of Last Audit Completed By State Auditor’s Office (if required)
Burning
Shredding
Date Of Request
Name Of Clerk Of Superior Court
Signature Of Clerk Of Superior Court
NOTE: All sections of the table below
must be completed. See instructions on reverse
(except for the sections in the column on the far right)
side. Fax request to (919) 890-1938 to the attention of the NCAOC Records Officer.
Inclusive Dates
Approval
Retention
Retention
Record Title/Description
Or
Quantity
(to be completed by NCAOC
Page No.
Item No.
(limit requests to one case type or division per form)
File Number Range
Records Officer)
Approved?
Yes
No
Approved?
Yes
No
Approved?
Yes
No
FOR NCAOC USE ONLY
Comments (to be completed by NCAOC Records Officer)
Name Of NCAOC Records Officer
Date
Signature Of NCAOC Records Officer
RECORDS RECEIVED BY NCAOC - FOR WAREHOUSE USE ONLY
Received By (print name)
Date Received
Signature Of Receiver
AOC-A-119, Rev. 12/15
© 2015 Administrative Office of the Courts
INSTRUCTIONS
Record Title/Description:
List by case type or division (e.g., Small Claims, District Criminal). If bookkeeping records, include
form number (e.g., AOC-27). Limit requests to one case type or division per form.
Inclusive Dates:
List beginning date, through and including ending date (e.g., 1/1/07-6/30/11).
File Number Range:
List beginning file number, through and including end file number (e.g., 10 CVM 1 - 10 CVM 3251).
Quantity:
List the exact number of files or records, if known. If exact number not known, list the number of file
drawers, file cabinets, books, boxes, etc., (e.g., 856 files; 3 binders; 100 pads, 500 cards; 1 file drawer
(letter size); 2 file cabinets (legal size); 2 books; 3 boxes (20x20)).
Retention Page Number:
Using the current Records Retention and Disposition Schedule, list the page number on which the
record appears (e.g., Page 6.3).
Retention Item Number:
Using the current Records Retention and Disposition Schedule, list the item number assigned to a
specific record(s) (e.g., Item 17).
Forward to NCAOC
When this form is completed as a paper document it should be signed by the elected clerk and
Records Officer:
transmitted to the NCAOC Records Officer. (Fax number for the NCAOC Records Officer is
(919) 890-1938.)
Records Received by
When an NCAOC employee receives the records listed on this form, he or she should sign the form,
NCAOC:
providing his or her name and the date the records were received. The Clerk of Superior Court retains
the original signed form; the NCAOC employee who receives the records may request a copy of the
signed form.
AOC-A-119, Side Two, Rev. 12/15
© 2015 Administrative Office of the Courts
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