EAST TENNESSEE STATE UNIVERSITY

RECORDS DISPOSAL AUTHORIZATION

Department: _____________________________ Date: ___________ 

The following records are no longer required and authorization for disposal is 
requested within approved guidelines. 
(Refer to Directive FP-9, Financial Procedures Manual)

Description of Records: Procard Statements and supporting documents

Records are dated from_________________ to____________________.

Records are numbered from_________________ to____________________.

Records have been recorded on microfilm and verified:
Yes No Not Required

Approved: ___________________________

Department Head _______________________ Date _____________ 

Dean or Director_______________________ Date _____________ 

Vice President ________________________ Date _____________ 

Records Officer________________________ Date _____________

TO BE COMPLETED AFTER DISPOSAL AND FORWARDED TO RECORDS OFFICER

Note: Disposal must be completed within 60 days of the date authorization is signed by the Records Officer or the authorization is invalid.

This is to certify that disposal of the above records was completed on _______________ in accordance with approved guidelines.

Department Head _________________________ Date ______________