Forms for Records Managers
Many of the State and Local Records Management publications are
available in both Microsoft Word format and in Adobe Acrobat Portable
Document Format (PDF). If you are looking for a form to use as a
template, choose the Microsoft Word version of the form. Many of
the Microsoft Word versions have the ability to be edited for easy
use.
Click on the links to download the forms you wish to view. Choose
to Save the document to your computer. Some documents have fillable
blanks; just click on them and type in your information, then print.
Please note: Many of these forms can be filled
out electronically, however, you MUST send in a paper copy in order
for us to obtain a signature.
Can't find what you're looking for?
New material is constantly in development and will
be added to this page on a continuing basis. If you require a printed
version of a document that is not yet available in alternative format
on our Web site, you may request a copy by e-mailing slrminfo@tsl.state.tx.us.
If necessary, follow the link below to download and
install a free copy of Adobe Acrobat software to view our PDF files.
 Download
Acrobat (R) Reader
Index
Records Management forms for State
Agencies
Records Management forms for Local
Governments
Records Management Forms for State Agencies
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RMD 101 & 101C: Transmittal of State Records
If the agency has an e-mail connection with the State Library,
the storage transmittal (RMD 101) should be sent electronically.
"Guidelines for E-Mail RMD 101" may be obtained by sending an
e-mail message to edt101@tsl.state.tx.us.
In your message, include the word HELP101. Any combination
of upper/lower case letters will work.
For more information about the electronic transmittal of RMD
101 please see Sending
Records to Storage at State Records Center.
To receive the RMD 101 to send records for microfilming, contact Tim Nolan at the following email: tnolan@tsl.state.tx.us
RMD 102: Authority to Dispose of State Records
 RMD 102 - MS Word Version
 RMD 102 - PDF Version
RMD 103: Records Inventory Worksheet
RMD 103 - MS Word Version
RMD 103 - PDF Version
SLR 104: Designation of State Agency Records Management Officer
SLR 104 - MS Word Version
SLR 104 - PDF Version
SLR 105: Records Retention Schedule
SLR 105 - MS Word Version
SLR 105 - PDF Version
SLR 105C: Records Retention Schedule - Certification
 SLR 105C - MS Word Version
SLR 105C - PDF Version
RMD 106: Records Center Storage Approval Form
RMD 106 - MS Word Version
RMD 106 - PDF Version
RMD 109: Disaster Recovery Transmittal
RMD 109 - MS Word Version
RMD 109 - PDF Version
RMD 113: Disaster Recovery Service Approval Form
RMD 113 - MS Word Version
RMD 113 - PDF Version
SLR 122: Records Retention Schedule Amendment
SLR 122 - MS Word Version
SLR 122 - PDF Version
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Records Management Forms for Local Governments
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Policy Model 1: Records Management Policy Statement
by an Elected County Official
PM 1- MS Word Version
PM 1- PDF Version (2 pages)
PM 1- HTML Version
Policy Model 2: By Ordinance, Order, or Resolution for Counties and
Large Local Governments
PM 2 - MS Word Version
PM 2 - PDF Version (10 pages)
PM 2 - HTML
Policy Model 3: By Ordinance In a Small Municipality
PM 3 - MS Word Version
PM 3 - PDF Version (4 pages)
PM 3 - HTML
Policy Model 4: Model Order or Ordinance for Small Local Governments
PM 4 - MS Word Version
PM 4 - PDF Version
PM4 - HTML
SLR 500: Local Government Records Control Schedule
SLR 500- MS Word Version
SLR 500- PDF Version
SLR 501: Request for Authority to Destroy Unscheduled Records
SLR 501- MS Word Version
SLR 501- PDF Version
SLR 502: Publications Order Form
SLR 502- MS Word Version
SLR 502- PDF Version
SLR 503: Records Inventory and Analysis Form
SLR 503- MS Word Version
SLR 503- PDF Version
SLR 508: Declaration of Compliance with the
Records Scheduling Requirement of the Local Government Records Act
SLR 508- MS Word Version
SLR 508- PDF Version
SLR 509: Supplemental Records Control Schedule
SLR 509- MS Word Version
SLR 509- PDF Version
SLR 520: Amendment to Local Government Records Control Schedule
SLR 520- MS Word Version
SLR 520- PDF Version
SLR 540: Records Control Schedule - Certification and Acceptance
SLR 540- MS Word Version
SLR 540- PDF Version
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