Form VSARA-21 Legal Custody Transfer Agreement - Vermont

Form VSARA-21 or the "Legal Custody Transfer Agreement" is a form issued by the Vermont Secretary of State.

The form was last revised in March 1, 2018 and is available for digital filing. Download an up-to-date Form VSARA-21 in PDF-format down below or look it up on the Vermont Secretary of State Forms website.

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VSARA-21
Rev. 03/2018
Vermont State Archives and Records Administration
Office of the Secretary of State
1078 US RTE 2, Middlesex ● Montpelier, VT 05633-7701 ● Tel: (802) 828-3700 ● Fax: (802) 828-3710
LEGAL CUSTODY TRANSFER AGREEMENT
It is hereby agreed that records appraised as permanent (archival) listed on the attached request form(s),
regardless of format, will be transferred into the legal custody of the Vermont State Archives and Records
Administration in accordance with 3 V.S.A. § 117(g)(4) after retention requirements have been met.
Records in the legal custody of the Vermont State Archives and Records Administration cannot be
withdrawn except in special circumstances but may be weeded in accordance with their respective record
schedules should the transfer include records appraised as temporary (non-archival).
Attached form(s): Check all that apply
□ Request to Use State Records Center (Form VSARA-12)
□ Request to Transfer Archival Records (Form VSARA-39)
Tanya Marshall
[Records Custodian]
Vermont State Archivist
Title, Agency
Date:______________________________
Date:______________________________
Once the attached request form(s) are received, a VSARA records and information management specialist will review the request(s) and
contact the Records Officer with any questions. If approved, this agreement will become final when signed and dated by the Vermont State
Archivist and a copy, along with a Series Report, will be provided to the Records Officer.
VSARA-21
Rev. 03/2018
Vermont State Archives and Records Administration
Office of the Secretary of State
1078 US RTE 2, Middlesex ● Montpelier, VT 05633-7701 ● Tel: (802) 828-3700 ● Fax: (802) 828-3710
LEGAL CUSTODY TRANSFER AGREEMENT
It is hereby agreed that records appraised as permanent (archival) listed on the attached request form(s),
regardless of format, will be transferred into the legal custody of the Vermont State Archives and Records
Administration in accordance with 3 V.S.A. § 117(g)(4) after retention requirements have been met.
Records in the legal custody of the Vermont State Archives and Records Administration cannot be
withdrawn except in special circumstances but may be weeded in accordance with their respective record
schedules should the transfer include records appraised as temporary (non-archival).
Attached form(s): Check all that apply
□ Request to Use State Records Center (Form VSARA-12)
□ Request to Transfer Archival Records (Form VSARA-39)
Tanya Marshall
[Records Custodian]
Vermont State Archivist
Title, Agency
Date:______________________________
Date:______________________________
Once the attached request form(s) are received, a VSARA records and information management specialist will review the request(s) and
contact the Records Officer with any questions. If approved, this agreement will become final when signed and dated by the Vermont State
Archivist and a copy, along with a Series Report, will be provided to the Records Officer.

Download Form VSARA-21 Legal Custody Transfer Agreement - Vermont

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