Standard Form 135, Records Transmittal and Receipt

• Legal Form Number: SF135
• Section: Court Services and Offender Supervision Agency for the District of Columbia

RECORDS TRANSMITTAL AND RECEIPT Complete and send original and one copy of this form to the appropriate Federal Records

Center for approval prior to shipment of records. See specific instructions on reverse. PAGE 1 OF

1 TO

(Complete the address for the records center serving your area as shown in 36 CFR

1228.150.) 5 FROM Enter the name and complete mailing address of the office retiring the records. The

signed receipt of this form will be sent to this address.)

(

2 AGENCY

TRANSFER

AUTHOR-

IZATION

TRANSFERRING AGENCY OFFICIAL (signature and title)

DATE

3 AGENCY

CONTACT TRANSFERRING AGENCY LIAISON OFFICIAL (Name, office and telephone No)

4 RECORDS

CENTER

RECEIPT

RECORDS RECEIVED BY (Signature and Title)

DATE

Fold Line 

6 RECORDS DATA

ACCESSION NUMBER

VOLUME

(cu. ft.)

(d)

AGENCY

BOX

NUMBERS

(e)

SERIES DESCRIPTION

(with inclusive dates of records)

(f)

RESTRIC

TION

(g)

-

DISPOSAL

AUTHORITY

(schedule and

item number)

(h)

DISPOSAL

DATE

(i)

COMPLETED BY RECORDS CENTER

RG

(a)

FY

(b)

NUMBER

(c)

LOCATION

(j)

F

SHEL

ANPL

(k)

.

CONT

TYPE

(l)

.AUTO

.DISP

(m)

NSN 7540-00-634-4093

135-107

Standard Form 135 (Rev. 7-85)

Prescribed by NARA

36 CFR 1228.152