Application for authority to dispose of local records: Fill out & sign online

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Click ‘Get Form’ to open the records disposal certificate in the editor.
Begin by filling in the 'APPLICATION #' and 'COUNTY' fields at the top of the form. Ensure that all blanks are completed accurately.
In the 'FROM' section, enter your agency division and provide your complete address, including street, city, and ZIP code.
List application item numbers in numerical order under 'APPLICATION ITEM NO.' and ensure that record series titles match those on your application.
Fill in the inclusive dates for each record series title and indicate the volume of records in cubic feet or megabytes/gigabytes.
If applicable, certify that microfilmed or digitized records comply with local regulations by signing where indicated.
Finally, sign and date the certificate before sending it to the Local Records Commission at least sixty days prior to your intended disposal date.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (152 Votes)
2008	4.4 Satisfied (281 Votes)

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