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Commission on Public Records Forms

The forms listed on this page are those which actually belong to the Indiana Commission on Public Records, and are used in the process of Records and Forms management.

To search this catalog: From the toolbar in the Edit menu, select "Find". When the Find search box appears, enter a keyword or form number. The first search result will display with the keyword or number highlighted, at the top of the page. Click "Find next" until the desired form is highlighted.

For forms labeled "PDF", the free Adobe Acrobat Reader software is required to view and in some cases fill them out. Forms in other formats (MS Word, MS Excel, etc) are indicated where appropriate.

To open a form once you have chosen it, click on the linked State Form Number (such as 01365.pdf).

For questions about individual forms, please contact this agency's forms coordinator, Jeff Roeder at 317-232-3663.

For questions about how to use this catalog, or to inform us of a technical problem, please send e-mail to the Forms Management Division.

Forms marked "read-only" cannot be filled in on your computer. They must be printed out and filled in by hand or typewriter.

Former ICPR forms now belonging to PEN Products in the Dept. of Corrections

For the Request to Store (SF 53163) see the Department of Corrections catalog.

Commission on Public Records Forms

Title

Form Number
Electronic Format

Condition Report

49116.pdf

Microform Transmittal and Receipt - County/Local Office

49466.pdf

Microform Transmittal and Receipt - State Agency

52408.pdf

Notice of Change of Agency Coordinator

42035.pdf

Notice of Destruction, Local Government Public Records

44905.pdf

Notice to Records Coordinators

47167.pdf

Notification of Record Series Action

41139.pdf

Public Record Copy Request

01365.pdf

Records Destruction Notification (read-only)

00016.pdf

Records Inventory and Analysis Worksheet

01141.pdf

Record Transmittal and Receipt

23628.doc

Record Transmittal and Receipt

23628.pdf

Request for Approval of Electronic Form

48874.pdf

Request for Approval of New/Revised Form

36040.pdf

Request for Leave

00056.pdf

Request for Permission to Destroy or Transfer Certain Public Records (PR-1)

30505.pdf

State Archives Record Transmittal and Receipt

48883.doc

State Archives Record Transmittal and Receipt

48883.pdf

State Micrographics Records Transmittal and Receipt

49433.pdf

Transmittal (Analysis)

43055.pdf