Document Storage Request

Use additional forms if you have more than ten boxes to submit. The Document Storage department will be notified of your request immediately and will contact you to schedule a convenient pickup date and time.

Requestor information

Department name

Cost Center and Program, Project, Grant or Gift Numbers

Department telephone number

First name

Last name

ASU email address

Pick up location

Building name

Room number

Contact name

Please include the name of the pick-up contact person if different than the requesting party listed above.

Box information

Box one number

Record Series Number

Description of Box Contents

Inclusive dates

Please include the inclusive dates of all records

Destruction date

On what date should the documents be purged and destroyed?

Box two number

Record series title & description (box two)

Inclusive dates (box two)

Please include the records inclusive dates in '00/00/00 - 00/00/00' format.

Destruction date (box two)

On what date should the files be purged and destroyed?

Box three number

Inclusive dates (box three)

Please include the records inclusive dates in '00/00/00 - 00/00/00' format.

Destruction date (box three)

On what date should the files be purged and destroyed?

Record series title & description (box three)

Box four number

Inclusive dates (box four)

Please include the records inclusive dates in '00/00/00 - 00/00/00' format.

Destruction date (box four)

On what date should the files be purged and destroyed?

Record series title & description (box four)

Box five number

Inclusive dates (box five)

Please include the records inclusive dates in '00/00/00 - 00/00/00' format.

Destruction date (box five)

On what date should the files be purged and destroyed?

Record series title & description (box five)

Box six number

Inclusive dates (box six)

Please include the records inclusive dates in '00/00/00 - 00/00/00' format.

Destruction date (box six)

On what date should the files be purged and destroyed?

Record series title & description (box six)

Box seven number

Inclusive dates (box seven)

Please include the records inclusive dates in '00/00/00 - 00/00/00' format.

Destruction date (box seven)

On what date should the files be purged and destroyed?

Record series title & description (box seven)

Box eight number

Inclusive dates (box eight)

Please include the records inclusive dates in '00/00/00 - 00/00/00' format.

Destruction date (box eight)

On what date should the files be purged and destroyed?

Record series title & description (box eight)

Box nine number

Inclusive dates (box nine)

Please include the records inclusive dates in '00/00/00 - 00/00/00' format.

Destruction date (box nine)

On what date should the files be purged and destroyed?

Record series title & description (box nine)

Box ten number

Inclusive dates (box ten)

Please include the records inclusive dates in '00/00/00 - 00/00/00' format.

Destruction date (box ten)

On what date should the files be purged and destroyed?

Record series title & description (box ten)

Do you have more than ten boxes for document storage?

Yes, I have more than ten boxes and will complete additional webforms for pick up

No, I only have ten or less boxes to pick up.