Request for Return of Record from Records Center / Out Card

Please complete one form for each file or box being requested.

NOTE: Items with an asterisk are required fields, and must be filled out before request can be processed.



*Person Requesting Return:

*Requestor's Telephone Number:

*Requestor's E-Mail Address:

Date Needed By:

Time Needed By:

Department Requesting Return:

*Department Code:

Department Address:

Method of Return:

Mail (Columbia Only)
Delivery (Columbia Only)

Special Instructions:

Records Center Box Location Number:


Document (Identified)


Please enter the word you see in the image below:

*Indicates required field

Note: Please complete this form ONCE for EACH FILE OR BOX being recalled as each submission will generate a printed sheet that will serve as a checkout form for the record either in the box or on the shelf.

Call the Records Center at (573) 882-7652 for emergency requests. Advise the Records Center Staff of the circumstances and special requirements.