University Archives
2700 Kenny Road
Columbus, OH 43210
Phone 614.292.4092
LIB-Records@osu.edu
http://go.osu.edu/crd

CERTIFICATE OF RECORDS DESTRUCTION

Submit CRD via EmailResetThis Certificate is used in coordination with the approved Ohio State University General Records Retention Schedule OR a unique Departmental/Unit Records Retention
Schedule approved by the University Records Manager. Any other retention schedule does not support or justify records destruction.
Save the form and rename it (CRD-[department or unit name]-YYYYMMDD.pdf – e.g. CRD-University-Archives-20190101.pdf).
Send one signed copy to University Records Management one (1) week prior to the destruction of records via email OR to the above mailing address.

Date Prepared:

Proposed Date of Destruction (destruction may only occur

once approval is received):

Prepared By:

Department/Unit:

Title:

Signature:

Email:

Phone:

Records Management Approval:

Records Management Notes:

RG#INFORMATION ABOUT RECORDS TO BE DESTROYED:
Record Series/Type: List the record series, as it appears on the retention schedule, that your unit intends to destroy – use a separate row for each record series;
Inclusion Dates: Enter the Begin and End dates in mm/dd/yyyy format; Official Record or Local Copy: Check if you are destroying the official record or a local
copy. If destroying a local copy, write the name of the official record’s location; Schedule Type: Check the schedule type providing authority to destroy (OSU
General Schedule or Unit Unique Schedule).
RECORDS SERIES/TYPE

INCLUSION DATES(MM/DD/YYYY)

OFFICIAL RECORD OR COPY

(IF COPY, NAME OFFICE WITH OFFICIAL)

Official
Official
Official

Revised 09/2019

SCHEDULE TYPE(CHECK TYPE)

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Office with Official:

Office with Official:

Office with Official:University Archives
2700 Kenny Road
Columbus, OH 43210
Phone 614.292.4092
LIB-Records@osu.edu
http://go.osu.edu/crd

RECORDS SERIES/TYPE

INCLUSION DATES(MM/DD/YYYY)

OFFICIAL RECORD OR COPY

(IF COPY, NAME OFFICE WITH OFFICIAL)

Official
Official
Official
Official
Official
Official
Official
Official
Official
Official
Official

Revised 09/2019

SCHEDULE TYPE(CHECK TYPE)

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU GeneralUnit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Office with Official:

Office with Official:

Office with Official:

Office with Official:

Office with Official:

Office with Official:

Office with Official:

Office with Official:

Office with Official:

Office with Official:

Office with Official:University Archives
2700 Kenny Road
Columbus, OH 43210
Phone 614.292.4092
LIB-Records@osu.edu
http://go.osu.edu/crd

RECORDS SERIES/TYPE

INCLUSION DATES(MM/DD/YYYY)

OFFICIAL RECORD OR COPY

(IF COPY, NAME OFFICE WITH OFFICIAL)

Official
Official
Official
Official
Official
Official
Official

Revised 09/2019

SCHEDULE TYPE(CHECK TYPE)

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Copy

OSU General

Unit Unique

Office with Official:

Office with Official:

Office with Official:

Office with Official:

Office with Official:

Office with Official:

Office with Official: