[Firm Name]
OFFSITE FILE REQUEST FORM
REQUESTOR:
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Name:
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Deliver to:
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Date & Time of Request:
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CLIENT INFORMATION:
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Client No.:
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Client Name:
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Year:
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DELIVERY REQUIREMENTS:
STANDARD (Tuesday or Thursday)
Review at Archive:
Special Request: (Client will be charged.)
Two-Hour
Same Day
Next Day: AM PM
By Date:
SPECIAL NOTES:
FOR INTERNAL USE ONLY:
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BARCODE #
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FILE INFORMATION
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BOX #
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Archive Fax #: (XXX) XXX-XXXX