Preparation of Request for Destruction Form

1. Type date form is completed. 

2. Type Department Name to include address, contact person, phone number, and fax.

3. Check either on-site destruction or Record Center Destruction.

On-Site Destruction – Records are destroyed at CNM Retention Center.

Record Center Destruction – Records are destroyed at State Records Center.    

4. Type Record Description, which can be obtained from Retention and Disposition Schedules.

5. Type Inclusive Date of Records.  Example:  1996 or FY 6/30/1996

6. Type Quantity of Boxes.  Example: “1 of 10” boxes.

7. Type Schedule Item Number, which can be obtained from the Record Retention & Disposition Schedules.  Example:  21.F203