Utah Department of Administrative Services

Division of Archives & Records Service

Series-Specific Retention Schedule Submission Form

Edit an Existing Retention Schedule

To edit an existing retention schedule, you must first search for that schedule by its series number.

Or Describe a New Record Series

*Records Officer's Name:
*Email address:
*Phone number:
*Name of governmental entity:
*Division (include city/region):


Information About Records

*Record series title (no acronyms/abbreviations):

Variant title (acronyms or nicknames):

*Date ranges:

* Arrangement:

Alphabetical by

Alphanumerical by

Chronological by

Numerical by

Other Arrangement:

Are these records described in an already approved general retention schedule? If so, provide the schedule and item number. Retention for records tied to a general retention schedule must match the general schedule.

Schedule Type:
Schedule Number:
Item Number:



The records description should identify the records in a summary that is understandable to someone who is unfamiliar with the records and their function. The description should answer such questions as: a) What government functions do the records document? b) How are the records used? c) What information is contained in them?


What is the primary value of these records? (please check all that apply):

Administrative Value
Fiscal Value
Historical Value
Legal Value

Add appraisal explanation or justification:

Provide legal citations, if any, which govern the creation, retention, or accessibility of the records in the series:



Indicate the format and recommend how long these records should be retained for the administrative purposes of the agency and delineate the reasoning for that length of time:


Year(s) Month(s)

Describe any triggering event that would signal the beginning of the retention? (If there is no triggering event, then the disposition date will be calculated from the creation date.)

If these records are to be transferred to the State Records Center, at what point should they be transferred?


When these records have met their retention their disposition should be:

Transferred to Archives to become part of the state's permanent historical record
Other, explain:

Format Migration Plans

Records must be preserved and accessible for the entire retention period. Records in electronic format cannot be guaranteed to remain accessible for longer than ten years without undergoing a format/media review and possible upgrades or changes. For long-term records with a retention period of more than ten years, a retention migration plan is required to ensure preservation and accessibility. Please submit as an attachment the format/migration plan that the agency has prepared to ensure the records' preservation and accessibility, or summarize below:


Add any additional comments that would be useful in understanding the records in the series.


Government Records Access and Management Act

GRAMA (Utah Code § 63G-2-307)(1)(c)) states that a governmental entity shall report designations of its records to the State Archives.

Primary designation for the record series:





Restricted by a court rule or a state or federal statute other than GRAMA

If not Public, provide the legal citation which is the basis for the designation for records in the series. See classification worksheet.

Secondary designation for the record series: