Temporary Custody Receipt Of Hardware printable pdf download

Temporary Custody Receipt Of Hardware

Alabama Department of Archives and History

PO Box 300100, Montgomery, AL 36130-0100

Temporary Custody Receipt of Hardware

This form documents that the Alabama Department of Archives and History has received a hardware

device from another state agency for the purpose of transferring permanent electronic records.

Agencies should maintain copies of all the records they transfer to the Archives in the case

technological problems occur during the transfer. After the Archives verifies the records have

successfully transferred from the hardware device to the Archives’s server, the creating agency may

destroy the copies. The Archives will return the hardware as soon as the electronic records contained

on it have been transferred and verified. While at the Archives, the hardware will be kept in a secure

location.

Date: ____________

State Agency Transferring Records: ________________________________________________

Agency Address: _______________________________________________________________

Authorized Agency Transferring Agent: _____________________________________________

Telephone: _______________________________

E-mail Address: _______________________________

Type of Hardware: ______________________________________________________________

Property Number/Identifying Number/Description of Hardware:__________________________

Signature of Authorized Agency Transferring Agent: ___________________________________

ADAH Staff Member Receiving Hardware: __________________________________________

ERHTCR Form 6/2011

Temporary Custody Receipt Of Hardware