CERTIFICATE OF RECORDS DESTRUCTION by shelseaZvansky

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                                                                                                                                           University Archives
                                                                                                                                                   2700 Kenny Road
                   CERTIFICATE OF RECORDS DESTRUCTION                                                                                          Columbus, OH 43210
                                                                                                                                                Phone 614.292.2409
                                                                                                                                                  Fax: 614.688.4150
                                                                                                   http://library.osu.edu/sites/archives/retention/arvguidelines.php

This Certificate is used in coordination with the approved Ohio State University General Records Retention Schedule OR a unique Departmental/Unit Records
Retention Schedule approved by the University Archivist. Any other retention schedule does not support or justify records destruction. Retain one signed copy for
your records. Send one signed copy to the University Archive one (1) week prior to the destruction of records to the above address.

PREPARED ON:                    DATE TO BE DESTROYED:                      DEPARTMENT/UNIT NAME:

PREPARED BY:                                                                                 PHONE #: #######

SIGNATURE:                                                                           EMAIL ADDRESS:


RECORD SERIES TITLE/DESCRIPTION (Briefly describe the type of records that your unit            INCLUSION DATES                 DESTRUCTION AS PER APPROVED
intends to destroy – do not combine records with different retention times)                 (CHOOSE ANY DATE W/IN MONTH)      RETENTION SCHEDULE (choose one)

                                                                                                         to                OSU General Schedule

                                                                                                         to                OSU General Schedule

                                                                                                         to                OSU General Schedule

                                                                                                         to                OSU General Schedule

                                                                                                         to                OSU General Schedule

                                                                                                         to                OSU General Schedule

                                                                                                         to                OSU General Schedule

                                                                                                         to                OSU General Schedule

                                                                                                         to                OSU General Schedule

                                                                                                         to                OSU General Schedule




crd form updated 12/2008                                                                                                                             Print Form
                                                                                                                               University Archives
                 CERTIFICATE OF RECORDS DESTRUCTION                                                                                    2700 Kenny Road
                                                                                                                                   Columbus, OH 43210
                            INSTRUCTIONS                                                                                            Phone 614.292.2409
                                                                                                                                      Fax: 614.688.4150
                                                                                       http://library.osu.edu/sites/archives/retention/arvguidelines.php


This form is an editable PDF that can be saved and printed. You can tab through the editable fields in order, and it has several automated
functions to facilitate its completion in an appropriate manner:

      Interactive calendars to insert dates into the following fields
        “Prepared On” & “Date to be Destroyed” [an entry results in a YYYY-MM-DD entry]




         “Inclusion Dates” [any date clicked on in the calendar results in a YYYY-MM entry; additionally the year can be toggled up and
         down]




      The “Phone #” field is limited to 7 numeric characters that will generate the hyphenated number [1234567 results in 123-4567]




      The “eMail Address” field tests for a valid email naming structure:
                                                                                                                        University Archives
             CERTIFICATE OF RECORDS DESTRUCTION                                                                                 2700 Kenny Road
                                                                                                                            Columbus, OH 43210
                        INSTRUCTIONS                                                                                         Phone 614.292.2409
                                                                                                                               Fax: 614.688.4150
                                                                                http://library.osu.edu/sites/archives/retention/arvguidelines.php


       The “Destruction As Per Approved Schedule” is a pull-down menu with two choices to select from:




EXAMPLE:

								
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