Armstrong State University Archives

Agreement to Transfer University Records

The records listed below were created by______________________, an organization of Armstrong State University, and are hereby transferred to the University Archives, Lane Library Armstrong State University for permanent retention as historical records or other disposition based on an archival appraisal of the materials.

Records Transferred:



Records transferred to the Archives are processed, housed and made available to researchers according to the standard archival procedures of the repository. Terms for restrictions on access or other conditions of the transfer must be made part of the agreement at the time of transfer.  The Archives will dispose of any materials that are not considered to be of permanent value.

I hereby authorize and direct the transfer of records as prescribed in this agreement.

Name:_________________________________ Date:____________________

For the University Archives, I authorize receipt of the records under this agreement.
Name:________________________________ Date:_____________________

Record of Transfer

Accession Number:__________________

Range Number/Location:________________

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