The Johns Hopkins Medical Archives
The Johns Hopkins Medical Archives
Records Transmittal Form
This form is for the transmittal (transfer) of records to JHMI off-site Records Center managed by the Medical Archives.
Contact Information
|Department Name | |
|Institution: |School of Public |Hospital |School of Medicine |School of Nursing |
| |Health | | | |
| |Other (specify) |
|Staff Contact Name | |
|Position | |
|Mailing Address | |
|Phone | |
|Email | |
|Billing Contact (if different) |Name |Email |Phone |
|Internal Order/Cost Center Number| |
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Record Information
|Date Range |(inclusive) |
|Quantity |(Number of boxes and cubic feet) |
|Record Series |(description on page 3) |
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|File arrangement |(alpha by name, alpha by topic, chrono, file number) |
|Record medium | (paper, microfilm, electronic, tape, film, etc. If digital, specify software, operating system, |
| |etc.) |
| | |
|Series retention | |
|Series disposal year | |
|Condition of disposal |(shred, burn, etc): |
|Terms and Conditions For Access | |
Individual Box Content List (an Excel spreadsheet can be attached for the box list)
|Box Number |Records Center Locator Number | |Record Dates |
| |(RFID number) |Description of Records |Begin – End |
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|Archives Use |
|Received by: |Date received: |Accession Number: |Accession Date: |Status of records: |
|Function of records: |
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Instructions and Definitions
Record Information Form (The entire series of records being transferred to storage)
• Date Range: The inclusive date ranges of all the records (Mar. 1998 – Dec. 2006)
• Record series: 1. A group of similar records that are arranged according to a filing system and that are related as the result of being created, received, or used in the same activity; a file group; a record series. – 2. Bibliography · A group of items, each with its own title, also bearing a collective title for the group as a whole.[1]
Individual Box Content List
• Information on the contents of individual boxes being transferred into storage
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