Records Transmittal to StateArchivesCenter or StateRecordsCenter

Kentucky Department for Libraries and Archives, Archives and Records Management Division

300 Coffee Tree Road, P. O. Box 537, FrankfortKentucky40602

Cabinet/Local Jurisdiction

Department/Local Government Office

Division

Branch/Unit

ARM USE ONLY

Accession No. RG. No.

Compiler Date

Shelver Vol.

Reviewer/Date Retention

L______DC___ I___ DR___Destroyed______DD___

Retention Schedule Date

Total Containers

Permanent? Yes No

Destruction Date

(Month, Year)

ARM USE / FOR AGENCY USE
LOCATION IN CENTER / BOX
ROLL
BOOK
BUNDLE
OTHER / SERIES NUMBER AS ON SCHEDULE / TITLE OF RECORDS, EXACTLY AS LISTED
ON THE RECORDS RETENTION SCHEDULE / DATE SPAN
OF RECORDS IN EACH CONTAINER
IS ACCESS TO THESE RECORDS RESTRICTED? Yes No IF YES, CITE AUTHORITY
*By transferring permanent records to the StateArchivesCenter, an agency acknowledges that records are not needed for current business use.
By transferring permanent records to the StateRecordsCenter, an agency acknowledges that records are needed for current business use.

Page 1 of

Agency Records Officer/SignatureDate

Records Officer should send completed form, as an attachment, to. Save until you receive your locator copy.

ARM 70

Rev. 04/2017

Records Transmittal to StateArchivesCenter or StateRecordsCenter

(Continuation Sheet)

ARM USE ONLYAccession No.

Cabinet/Local Jurisdiction

Department/Local Government Office

Division

Branch/Unit

ARM USE / FOR AGENCY USE
LOCATION IN CENTER / BOX
ROLL
BOOK
BUNDLE
OTHER / SERIES NUMBER AS ON SCHEDULE / TITLE OF RECORDS, EXACTLY AS LISTED
ON THE RECORDS RETENTION SCHEDULE / DATE SPAN
OF RECORDS IN EACH CONTAINER

Page of

ARM 70a

Rev. 04/2017

Records Transmittal to StateArchivesCenter or StateRecordsCenter

(Continuation Sheet)

ARM USE ONLYAccession No.

Cabinet/Local Jurisdiction

Department/Local Government Office

Division

Branch/Unit

ARM USE / FOR AGENCY USE
LOCATION IN CENTER / BOX
ROLL
BOOK
BUNDLE
OTHER / SERIES NUMBER AS ON SCHEDULE / TITLE OF RECORDS, EXACTLY AS LISTED
ON THE RECORDS RETENTION SCHEDULE / DATE SPAN
OF RECORDS IN EACH CONTAINER

Page of

ARM 70a

Rev. 04/2017

Records Transmittal to StateArchivesCenter or StateRecordsCenter

(Continuation Sheet)

ARM USE ONLYAccession No.

Cabinet/Local Jurisdiction

Department/Local Government Office

Division

Branch/Unit

ARM USE / FOR AGENCY USE
LOCATION IN CENTER / BOX
ROLL
BOOK
BUNDLE
OTHER / SERIES NUMBER AS ON SCHEDULE / TITLE OF RECORDS, EXACTLY AS LISTED
ON THE RECORDS RETENTION SCHEDULE / DATE SPAN
OF RECORDS IN EACH CONTAINER

Page of

ARM 70a

Rev. 04/2017

Records Transmittal to StateArchivesCenter or StateRecordsCenter

(Continuation Sheet)

ARM USE ONLYAccession No.

Cabinet/Local Jurisdiction

Department/Local Government Office

Division

Branch/Unit

ARM USE / FOR AGENCY USE
LOCATION IN CENTER / BOX
ROLL
BOOK
BUNDLE
OTHER / SERIES NUMBER AS ON SCHEDULE / TITLE OF RECORDS, EXACTLY AS LISTED
ON THE RECORDS RETENTION SCHEDULE / DATE SPAN
OF RECORDS IN EACH CONTAINER

Page of

ARM 70a

Rev. 04/2017

Records Transmittal to StateArchivesCenter or StateRecordsCenter

(Continuation Sheet)

ARM USE ONLYAccession No.

Cabinet/Local Jurisdiction

Department/Local Government Office

Division

Branch/Unit

ARM USE / FOR AGENCY USE
LOCATION IN CENTER / BOX
ROLL
BOOK
BUNDLE
OTHER / SERIES NUMBER AS ON SCHEDULE / TITLE OF RECORDS, EXACTLY AS LISTED
ON THE RECORDS RETENTION SCHEDULE / DATE SPAN
OF RECORDS IN EACH CONTAINER

Page of

ARM 70a

Rev. 04/2017

Records Transmittal to StateArchivesCenter or StateRecordsCenter

(Continuation Sheet)

ARM USE ONLYAccession No.

Cabinet/Local Jurisdiction

Department/Local Government Office

Division

Branch/Unit

ARM USE / FOR AGENCY USE
LOCATION IN CENTER / BOX
ROLL
BOOK
BUNDLE
OTHER / SERIES NUMBER AS ON SCHEDULE / TITLE OF RECORDS, EXACTLY AS LISTED
ON THE RECORDS RETENTION SCHEDULE / DATE SPAN
OF RECORDS IN EACH CONTAINER

Page of

ARM 70a

Rev. 04/2017

Records Transmittal to StateArchivesCenter or StateRecordsCenter

(Continuation Sheet)

ARM USE ONLYAccession No.

Cabinet/Local Jurisdiction

Department/Local Government Office

Division

Branch/Unit

ARM USE / FOR AGENCY USE
LOCATION IN CENTER / BOX
ROLL
BOOK
BUNDLE
OTHER / SERIES NUMBER AS ON SCHEDULE / TITLE OF RECORDS, EXACTLY AS LISTED
ON THE RECORDS RETENTION SCHEDULE / DATE SPAN
OF RECORDS IN EACH CONTAINER

Page of

ARM 70a

Rev. 04/2017

Records Transmittal to StateArchivesCenter or StateRecordsCenter

(Continuation Sheet)

ARM USE ONLYAccession No.

Cabinet/Local Jurisdiction

Department/Local Government Office

Division

Branch/Unit

ARM USE / FOR AGENCY USE
LOCATION IN CENTER / BOX
ROLL
BOOK
BUNDLE
OTHER / SERIES NUMBER AS ON SCHEDULE / TITLE OF RECORDS, EXACTLY AS LISTED
ON THE RECORDS RETENTION SCHEDULE / DATE SPAN
OF RECORDS IN EACH CONTAINER

Page of

ARM 70a

Rev. 04/2017

Records Transmittal to StateArchivesCenter or StateRecordsCenter

(Continuation Sheet)

ARM USE ONLYAccession No.

Cabinet/Local Jurisdiction

Department/Local Government Office

Division

Branch/Unit

ARM USE / FOR AGENCY USE
LOCATION IN CENTER / BOX
ROLL
BOOK
BUNDLE
OTHER / SERIES NUMBER AS ON SCHEDULE / TITLE OF RECORDS, EXACTLY AS LISTED
ON THE RECORDS RETENTION SCHEDULE / DATE SPAN
OF RECORDS IN EACH CONTAINER

Page of

ARM 70a

Rev. 04/2017