Request to transfer government records to Library and Archives Canada

For help with this form, contact the Liaison Centre: bac.centredeliaison-liaisoncentre.lac@canada.ca

The fields with an " * " are mandatory.

Please note that it is not possible to save this form with the intent of completing it later.

Contact information

Name of transferring institution*

Please specify*

Contact name*

Position title

Telephone number*

Contact email*

Confirmation email*

Is the pick up location outside the NCR?*

Please be advised that once LAC approves the transfer, you must undertake the following two steps:

1) Courier the material to LAC
2) Email the tracking number from the courier company to LAC

The shipping location and email address will be provided upon approval of your request.

Please provide the pick-up address (where the records will be picked up) for this transfer.

Address 1*

Address 2

Address 3

City*

Province*

Postal code*

Contact name for the pick up
(If different from above)

Contact phone number
(If different from above)

Contact email
(If different from above)

Special instructions for pick up

Details about the records proposed for transfer

Name of creator
(If different from transferring institution(s))

Disposition authorization number*

Archival record description*

Please specify how many containers of each size listed below (even if the number is zero).

B30 containers quantity*

B20 containers quantity*

B15 containers quantity*

B10 containers quantity*

Non-standard sized containers quantity*

Total quantity of containers

Please provide details (dimensions) for non-standard containers

Are any of the records being transferred digital?*

Do any of these containers contain portable storage media?
(Diskettes, CD,s, USB keys)

Please specify in the finding aid which containers or files contain portable storage media.

Please fill out the Digital Transfer Assessment Form and attach it to this request.
If you need a template click here

Attach the form*

Please specify the container numbers for each applicable media type (semi-colon delimited).

Textual

Maps

Drawings

Photos

Film

Videos

Audio

Documentary art

Philately

Other

What are the archival reference numbers and volume numbers for this material (if appropriate)?

What is the highest level of security for these records?*

List of records proposed for transfer

No transfer will be considered without a detailed list (Finding Aid).

Have any of these records been opened by ATIP?

Please specify in the finding aid which containers or files have been reviewed and opened by ATIP.

Can you submit the list with this request?

Please prepare the Finding Aid and attach it to this request. If you need a template click here.

Attach the form*

If the list cannot be submitted electronically because of its security classification, please explain.

Please outline anything relevant to this request that does not fit into the fields above.

Terms and conditions

My institution understands that the transfer process will result in the transfer to LAC of legal care and control of the specified records.*

I declare that none of the records proposed for transfer are subject to a preservation order (litigation hold, legal hold, etc.).*

I declare that the retention periods have expired for all records proposed for transfer.*

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Request to transfer government records to Library and Archives Canada

Contact information

Details about the records proposed for transfer

List of records proposed for transfer

Terms and conditions