Records Management: Printable Forms

State Records Center Fee Increase

Effective July 1, 2010, the State Records Center will charge $24.00 per bundle of 25 Record Center cartons. Shredding services for boxes not stored in our facility are $4.35 per 1 cubic foot box.

Box Label Form (SRC 105)

Transmittal Form (SRC 102)

Service Request Form (SRC 103)

Off-Site Lease Approval Request Form (SRC-110)

Note: Forms require Adobe Acrobat Reader, available free at adobe.com. To save data entered in these forms, you must use the Save button in the Acrobat Reader toolbar—not your browser's toolbar. If your version of Reader does not show the button in the toolbar, right-click the top Acrobat Reader toolbar, and select "More Tools..." Scroll down to "File Toolbar" and make sure the "Save a copy" box is checked. You may also save the documents and work offline.

To ensure timely and accurate assistance with your request, state agencies are encouraged to forward all Reference Requests and Transmittals as e-mail attachments to records@mdah.state.ms.us. You may experience a delay if you fax or hand-mail your request.

Send completed forms to

Department of Archives and History
Division of Records Management
P.O. Box 571
Jackson, MS 39205-0571

Contact Records Management Monday through Friday, 7:30 a.m.-5 p.m.

State Records Center Services - 601-354-7386
Boxes, Transmittals, Box Reference, Disposal, Box Sales, Tape Rotation/Storage

Records Schedules & Appraisal - 601-576-6813