Records Inventory Form

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Records Inventory Form
.
County:
Inventoried By:
Date:
Department /Office
Record Title (common title the record is known by)
Inclusive dates
_______through__________
Qua ntity (cu.ft.)=
Location
Alternate title of the record
Person Responsible
Telephone
Is this the original (circle one) yes
no
Location of duplicates
Is this a duplicate (circle one) yes
no
Location of original
Description of Record/Comments/Condition of Records: (use the back of this form if needed)
Write about where it originates (public or another office); what is recorded on it; how long it is
stored and where it goes from here (destroyed or permanent storage)
Records Retention Schedule:____________________________________________
Reference Rate (circle)
Daily Weekly
Monthly
Yearly
Rate of Accumulation: cu.ft/year _______________ (figure one 4 drawer cabinet is 2 cu.ft)
Record Format (Circle)
Filing Method (Circle)
Microfilmed (Circle) Yes No
Letter
Alphabetical
Aperture Card (circle) Yes No
Legal
Numerical
Microfiche (circle)
Yes No
Computer printout
Chronological
Drawing/Map
Subject
Book
Alphanumeric
Card File
Geographic
Audiotape
Other
Videotape
Photograph
Electronic/digital image/CD-ROM
Equipment Type (storage)
Records Inventory Form
.
County:
Inventoried By:
Date:
Department /Office
Record Title (common title the record is known by)
Inclusive dates
_______through__________
Qua ntity (cu.ft.)=
Location
Alternate title of the record
Person Responsible
Telephone
Is this the original (circle one) yes
no
Location of duplicates
Is this a duplicate (circle one) yes
no
Location of original
Description of Record/Comments/Condition of Records: (use the back of this form if needed)
Write about where it originates (public or another office); what is recorded on it; how long it is
stored and where it goes from here (destroyed or permanent storage)
Records Retention Schedule:____________________________________________
Reference Rate (circle)
Daily Weekly
Monthly
Yearly
Rate of Accumulation: cu.ft/year _______________ (figure one 4 drawer cabinet is 2 cu.ft)
Record Format (Circle)
Filing Method (Circle)
Microfilmed (Circle) Yes No
Letter
Alphabetical
Aperture Card (circle) Yes No
Legal
Numerical
Microfiche (circle)
Yes No
Computer printout
Chronological
Drawing/Map
Subject
Book
Alphanumeric
Card File
Geographic
Audiotape
Other
Videotape
Photograph
Electronic/digital image/CD-ROM
Equipment Type (storage)

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