State Form 48883 "State Archives Record Transmittal and Receipt" - Indiana

What Is State Form 48883?

This is a legal form that was released by the Indiana Archives and Records Administration - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2020;
  • The latest edition provided by the Indiana Archives and Records Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of State Form 48883 by clicking the link below or browse more documents and templates provided by the Indiana Archives and Records Administration.

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Download State Form 48883 "State Archives Record Transmittal and Receipt" - Indiana

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PAGE NUMBER
TOTAL PAGES
STATE ARCHIVES RECORD TRANSMITTAL AND RECEIPT
OF
State Form 48883 (R7 / 4-20)
INDIANA ARCHIVES AND RECORDS ADMINISTRATION
Instructions and guidelines for transferring permanent paper and electronic records:
1.
Use a separate transmittal for each record series submitted. IARA will not accept any records without prior approval of this form.
2.
The transmittal must be typed, printed, or reproduced electronically in order to ensure accuracy and legibility, filled out in its entirety, and signed.
3.
Number all boxes / items / media in a continuous sequence. Multiple formats of the same series may be submitted on a single transmittal. One network / SFTP transmittal equates to one “box.”
4.
NOTES – Please designate importance, if records are scheduled to be sampled, or indicate the type of physical media on which records are held (e.g. CD, audio cassette, film reel).
5.
Include a box- or folder-level inventory in an Excel spreadsheet to IARA prior to pick-up of paper records. For electronic, include a folder/file manifest listing all files submitted and their sizes. For
paper transmittals, provide at minimum a list of all boxes and their contents prior to pick-up. For transmittals containing non-paper materials such as disks, audiovisual materials, or objects, a
detailed list of all folders/items in each box is preferred. For digital-only transmittals, provide an itemized list of all folders and files submitted, including format and file size (e.g. a directory list).
6.
By signing this form, a state or local agency transfers ownership of the records to the IARA, per IC 5-15-5.1-11.
7.
An accession report will be provided upon request.
TO:
FROM:
State Agency
County / Local Government
State Agency / County / Local Office
Have these records been imaged (check one)?
Indiana State Archives
Division
Yes
No
Not Required
Indiana Archives and Records Administration
6440 E. 30
th
Street, Indianapolis, IN 46219
Address
Telephone: (317) 591-5222
Have these records been audited (check one)?
Location name where records may be picked-up
Fax: (317) 591-5324
Yes
No
Not Required
E-mail:
arc@iara.IN.gov
Address where records may be picked-up
AUTHORIZATION TO TRANSFER RECORDS
Signature of records coordinator / local official
Printed name of records coordinator / local official
Date signed (month, day, year)
Telephone number
E-mail address
(
)
Name of employee transferring records (if different from above)
Telephone number
(
)
RECORD SERIES INVENTORY
Record series title
Record series number (e.g. 83-79)
RECORD DATES
NON-PAPER RECORDS ONLY
BOX, ITEM, OR
QUANTITY / SIZE /
NUMBER OF
FILE / OBJECT
NOTES
FROM
TO
TYPE
TRANSFER METHOD
MEDIA NUMBER
TOTAL
(See Instructions above.)
VOLUME
FILES /
FORMATS
(mm/yyyy)
(mm/yyyy)
OR MEDIA
(e.g. 123 MB)
OBJECTS
(e.g. PDF, DOC)
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
of
RECEIPT OF RECORDS (For office use only.)
Signature of State Archives employee receiving records
Printed / typed name of State Archives employee receiving records
Accession number
Date (month, day, year)
DISTRIBUTION: Original - State Archives file;
Copy - Agency;
Copy - State Archives processing
Reset Form
PAGE NUMBER
TOTAL PAGES
STATE ARCHIVES RECORD TRANSMITTAL AND RECEIPT
OF
State Form 48883 (R7 / 4-20)
INDIANA ARCHIVES AND RECORDS ADMINISTRATION
Instructions and guidelines for transferring permanent paper and electronic records:
1.
Use a separate transmittal for each record series submitted. IARA will not accept any records without prior approval of this form.
2.
The transmittal must be typed, printed, or reproduced electronically in order to ensure accuracy and legibility, filled out in its entirety, and signed.
3.
Number all boxes / items / media in a continuous sequence. Multiple formats of the same series may be submitted on a single transmittal. One network / SFTP transmittal equates to one “box.”
4.
NOTES – Please designate importance, if records are scheduled to be sampled, or indicate the type of physical media on which records are held (e.g. CD, audio cassette, film reel).
5.
Include a box- or folder-level inventory in an Excel spreadsheet to IARA prior to pick-up of paper records. For electronic, include a folder/file manifest listing all files submitted and their sizes. For
paper transmittals, provide at minimum a list of all boxes and their contents prior to pick-up. For transmittals containing non-paper materials such as disks, audiovisual materials, or objects, a
detailed list of all folders/items in each box is preferred. For digital-only transmittals, provide an itemized list of all folders and files submitted, including format and file size (e.g. a directory list).
6.
By signing this form, a state or local agency transfers ownership of the records to the IARA, per IC 5-15-5.1-11.
7.
An accession report will be provided upon request.
TO:
FROM:
State Agency
County / Local Government
State Agency / County / Local Office
Have these records been imaged (check one)?
Indiana State Archives
Division
Yes
No
Not Required
Indiana Archives and Records Administration
6440 E. 30
th
Street, Indianapolis, IN 46219
Address
Telephone: (317) 591-5222
Have these records been audited (check one)?
Location name where records may be picked-up
Fax: (317) 591-5324
Yes
No
Not Required
E-mail:
arc@iara.IN.gov
Address where records may be picked-up
AUTHORIZATION TO TRANSFER RECORDS
Signature of records coordinator / local official
Printed name of records coordinator / local official
Date signed (month, day, year)
Telephone number
E-mail address
(
)
Name of employee transferring records (if different from above)
Telephone number
(
)
RECORD SERIES INVENTORY
Record series title
Record series number (e.g. 83-79)
RECORD DATES
NON-PAPER RECORDS ONLY
BOX, ITEM, OR
QUANTITY / SIZE /
NUMBER OF
FILE / OBJECT
NOTES
FROM
TO
TYPE
TRANSFER METHOD
MEDIA NUMBER
TOTAL
(See Instructions above.)
VOLUME
FILES /
FORMATS
(mm/yyyy)
(mm/yyyy)
OR MEDIA
(e.g. 123 MB)
OBJECTS
(e.g. PDF, DOC)
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
of
<SELECT ONE>
<SELECT ONE>
of
RECEIPT OF RECORDS (For office use only.)
Signature of State Archives employee receiving records
Printed / typed name of State Archives employee receiving records
Accession number
Date (month, day, year)
DISTRIBUTION: Original - State Archives file;
Copy - Agency;
Copy - State Archives processing