Request for temporary storage at Central Stores | Central Stores

Date:

Department:

Requisitioner:

Phone / Ext.:

Email:

Material to be picked up from:

Building:

Department:

Room No. / Location:

Item 1:

Quantity:

Description:

Item 2:

Quantity:

Description:

Item 3:

Quantity:

Description:

Item 4:

Quantity:

Description:

Item 5:

Quantity:

Description:

Item 6:

Quantity:

Description:

Item 7:

Quantity:

Description:

Item 8:

Quantity:

Description:

Note:

Minimum 5 cartons stored
Maximum storage 2 years on non-records cartons
Records stored up to 7 years (age of records). Record dates must be shown on end of record cartons. Use only 40-0778 cartons.

Option 1:

Hold for how many months?

Then deliver to:

Phone / Ext.:

Option 2:

Dispose after holding for how many months?

Approved by: