RECORD SERIES INVENTORY
INSTRUCTIONS: USE ONE FORM PER RECORD SERIES
DEPARTMENT
DIVISION
OFFICE
CONTACT PERSON
(Name, Title, Phone Number)
DATE INVENTORY COMPLETED
RECORD SERIES TITLE and DESCRIPTION
(How the record functions, what information it contains, form number)
PAPER
CARD FILE: SIZE____X____
LETTER SIZE
LEGAL SIZE
BOUND BOOK
PUNCH CARD
RINGED NOTEBOOK
OTHER: _____________________________________________________________________________________________________________
MICROFILM
ROLL SIZE:
_______ mm
FICHE
OTHER: ____________________________________________________________
MAGNETIC
COMPUTER TAPE
SIZE: __________
AUDIO TAPE
SIZE: ______________
VIDEO TAPE
SIZE: _______________
MEDIA
DISC
SIZE:________________
OTHER:___________________________________________________________________________________
FILING
ALPHA BY _____________
NUMERIC BY ______________
CALENDAR YEAR
CHRONOLOGICALLY BY:
METHOD
FISCAL YEAR
REFERENCE
DAILY
WEEKLY
MONTHLY
YEARLY
OTHER: ___________________________
RATE
INCLUSIVE DATES
RECORDS LOCATION
RECORD
EQUIPMENT
VOLUME
RECORD SERIES RANGE
FROM
TO
(e.g., Li-Ru, 300-650)
(Building, Room, Floor Number)
TYPE
TYPE
(Cubic Feet)
LIST OTHER SOURCES AND LOCATIONS OF THIS RECORD SERIES
APPLICABLE STATUTES/REGULATIONS
IS AN EXTERNAL AUDIT REQUIRED?
IS RECORD SERIES LISTED ON A
ANNUAL ACCUMULATION
(In Cubic Feet)
RECORDS RETENTION SCHEDULE?
YES
NO
YES
NO
IF NO, CONTACT DORES
RECORDS MANAGEMENT SERVICES.
Department of the Treasury, Division of Revenue and Enterprise Services, Records Management Services
Department of the Treasury, Division of Revenue and Enterprise Services, Records Management Services