The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
Records Management Unit – Massachusetts Archives at Columbia Point
220 Morrissey Blvd., Boston, Massachusetts 02125-3384
Email: rmu@sec.state.ma.us
Website: www.sec.state.ma.us/arc/arcrmu/rmuidx.htm
Phone: 617-727-2816 Fax: 617-288-8429
IMPORTANT! Record custodians must re-submit this form each time they intend to destroy any of the records listed
herein. No record can be destroyed unless it is included in an authorized disposal schedule.
1. Destruction Permission for: _____________________________________________________
Municipal Entity (city, town, school committee, etc.)
2. Total approximate volume of records proposed to be destroyed (cubic feet, le drawers, boxes, etc.)
___________________________________________________________________________
3. Location of records: ___________________________________________________________
4. e last audit of accounts of this oce was completed on ______________________________
Month/Day/Year
5. I certify that the last entries on the records listed in this application were made prior to the retention
date of this agency’s Disposal Schedule(s) thus satisfying the legal requirements that certain records
be kept for a specied length of time and are not subject to pending audit or investigation.
___________________________________________________________________________
Print or Type Name
___________________________________________________________________________
Address Phone
___________________________________________________________________________
Signature of Department Head or Authorized Agent Date
FORM RMU-2 – APPLICATION FOR DESTRUCTION PERMISSION
RMU2 02/27/12
DO NOT USE THIS SPACE
Disposal Schedule(s) #
APPROVALS:
Pursuant to provisions of MGL,
ch. 66, Supervisor of Public Records
hereby grants permission to destroy the
records listed in this application under
the Disposal Schedule(s) above.
SUPERVISOR OF
PUBLIC RECORDS
_________________________
Supervisor of Public Records
_______ / ______ / _______
Date of approval
Item No. Description of Record (Give Form # if any) Retention
Period
Inclusive
Dates
Example:
1.104
Personnel, Leave Reports (Authorized)
Retain 3 years
01/90-12/00
Please list additional records on a separate sheet(s)
