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Records Destruction Form

Records Destruction Request


Are you authorized to submit this form for your department?

Before submitting this on-line form, you must have the authorization of your department head to submit Certificates of Records Destruction. If you are not authorized, complete the Appointment of Records Coordinator form (PDF). Once the form has been processed, you may submit the form below.

Once you are authorized to submit this form for your department, please fill in all fields, then click "Send Request." A confirmation of your request will be sent to the email address provided. If you have questions or problems please contact Records Management at recmgmt@vt.edu or 1-0224.

RMS will approve and send you a hard copy of your request. If any of the records are to be shredded, you will also receive a destruction label for each of the corresponding boxes of records. Please refrain from using boxes larger than a copy paper or standard banker box.

Records sent to RMS for shredding must be "cleaned" of paper clips, black metal clips, carbon, and plastic material. Manila folders should be pulled. If the folders have sensitive data on them and need shredding, please send them separately from their contents.

If you have problems submitting this form, please verify that your cookies are enabled and your desktop firewall (such as Zone Alarm or BlackICE) is not set too high.

Form instructions (will display in a new browser window)

Information on Records Coordinator

Information on Records Coordinator *Note: All automated responses will use this address.
Name:
Department Name:
Department Number:
Postal Code: Lookup Postal Codes
Phone:
Fax:
Email Address:

This form documents the destruction of public records in accordance with the Virginia Public Records Act, ' 42.1-86.1 of the Code of Virginia.

Records to Be Destroyed

 

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Records
Series
Number		 Record Title Date Range
FROM		 Date Range
TO		 Number of
Boxes		 Shred? (Default is Recycle)

NOTE: Public records may NOT be destroyed without receiving prior approval form the University Records Manager. I certify that the records listed above have been retained for the scheduled retention period, required audits have been completed, and no pending or ongoing litigation or investigation involving these records is known to exist.

Do you need Records Management Services to shred confidential records?
Yes   No