Order Duplicate Microfilm

To request a copy of microfilm, please answer the following questions. After we receive this information, we will contact you for confirmation and to arrange payment. If you have questions, please contact a records analyst.

This form is for employees of governmental entities only. Request copies for research.

Name:
Email:
Agency:
Address:
Phone:

Microfilm Information

Enter as much as you know. The most important information is the accession number(s) for efficient retrieval. You may look them up online with a report in an agency search.

Series Number:
Series Title:
Accession numbers of film:
Or insert link to list on Google Drive:
Type:	Diazo Silver

Special Instructions or Other Comments: