Document Storage
Records Request Form

Client Name *(Required)

Personnel requesting service

Email *(Required)

Phone

Department

Customer needs:

Items pulled and delivered

Items pulled for customer pickup (requires ID)

Items picked up from client location

Delivery Service:

Next Regular Delivery (service requests received by 10 am will be processed the same day)

ASAP Delivery ( additional charge. Service performed within 2 hours of request during business hours) Type of record requested

Type of record requested

Year of Record

File/Case #

Customer Box #

RSC Box # (if available)

Name/Description