Record Title: _______________________________________________________

Description of Function: _______________________________________________________ _______________________________________________________ Location: __________________________

Retention: __________________________

Format: _______Paper_______Tape_______Disk_______Photo

Answer the following questions for each record series you are evaluating:

What would we be unable to do if these records were destroyed? ______________________________________________________________________

Can the work be carried forward without the record?                                                                       1      2        3         4       5

                                                                                                                                                           low        medium        high

How high would the consequences to the University be?                                                               1      2       3          4       5

                                                                                                                                                           low        medium        high

How much of an impact would losing the records have on students and UW employees?             1       2       3          4       5

                                                                                                                                                           low        medium        high

How high would reconstruction costs be? (Time and money)                                                        1       2       3          4       5

                                                                                                                                                            low       medium         high

How quickly would the information need to be reproduced?                                                          1        2      3          4        5

                                                                                                                                                             low       medium         high

                                           Why? __________________________________________________________

Can the records be replaced from another source(s)?                                                                   1        2      3           4       5 

                                                                                                                                                              yes   possible   no

                                         Where? ___________________________________________________________

Add all the circled numbers together for a TOTAL: ____________

Key: 1-9 Nonessential 10-19 Useful 20-29 Important 30-35 Vital

 

FOR VITAL RECORDS ONLY: Protection Method: __________________ Completed by: ___________ Location of other copies: __________________ Date ___________

 

 

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