Storage Request Form

Date:

Requester:

Title:

Department:

Phone Number:

Mail Box:

Room Number:

Total # of boxes for retention:

Do boxes contain any of the following material?

Packing slips (other than University Stores, Corporate Express & Office Depot?

If yes, which boxes?

ProCard receipts?

If yes, which boxes?

Internal Purchase Requests?

If yes, which boxes?