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Here is the text we could read:

Unified Judicial System Disposal Log – Non-Permanent Records

Page _____ of _____

1. ____________________________________
County

2. __________________________________________
Judicial District

3. ________________________________________
Record Custodian

4. ____________________________________
Office/Department

5. __________________________________________
Address

6. _________________________________________
Telephone No.

10.

11.

12.

AUTHORIZATION FOR DISPOSAL

RECORD TITLE

SCHEDULE
[§ Name (e.g. 5.7 Juvenile)]

INCLUSIVE
DATES OF RECORDS

FORMAT

MICRO-
FILMED
(Y-N)

ORIGINAL
(Y-N)

I, _____________________________________________, hereby request that the Record Retention Officer authorize the disposal of the listed records.

Record Custodian’s Name

______________________________________________
Record Custodian’s Signature

___________________________________________
Title

____________________________________
Date

FOR USE BY RECORD CUSTODIAN

I, _____________________________________________, hereby approve of the disposal of the records listed as requested.

Record Retention Officer’s Name

FOR USE BY RECORD RETENTION OFFICER

______________________________________________
Record Retention Officer’s Signature

___________________________________________
Title

____________________________________
Date

Original to be retained by the District Record Retention Officer. Copy to be provided to the Record Custodian. Copy to be provided to the AOPC on or before January 15th each year.

Send a copy to Administrative Office of PA Courts, 1515 Market Street, Suite 1414, Philadelphia, PA 19102.

AOPC 507B

rcdsdisplog

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Pennsylvania state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.pacourts.us (2023-03)
Page(s): 1
Fields(s): 70
Average fields per page: 70
Reading Level: Grade 11
LIST Grouping(s): GO-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

page was Page (0.47 conf)
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county was County (0.39 conf)
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inclusivedates_row__8 was INCLUSIVEDATESRow8 (0.35 conf)
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format_row__1 was FORMATRow1 (0.33 conf)
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format_row__5 was FORMATRow5 (0.33 conf)
format_row__6 was FORMATRow6 (0.33 conf)
format_row__7 was FORMATRow7 (0.33 conf)
format_row__8 was FORMATRow8 (0.33 conf)
format_row__9 was FORMATRow9 (0.33 conf)
record_custodian_signature was RecordCustodianSignature (0.42 conf)
record_custodian_title was RecordCustodianTitle (0.42 conf)
authorization_date_retention was AuthorizationDateRecordRetentionOfficer (0.41 conf)
authorization_date_custodian was AuthorizationDateRecordCustodian (0.48 conf)
record_custodian_name was RecordCustodianName (0.39 conf)
record_officer_name was RecordRetentionOfficerName (0.35 conf)
record_retention_officer was RecordRetentionOfficerSignature (0.38 conf)
record_officer_title was RecordRetentionOfficerTitle (0.37 conf)
micro_box__1 was MicroBox1 (0.40 conf)
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micro_box__4 was MicroBox4 (0.38 conf)
original_box__4 was OriginalBox4 (0.39 conf)
micro_box__5 was MicroBox5 (0.38 conf)
original_box__5 was OriginalBox5 (0.39 conf)
micro_box__6 was MicroBox6 (0.38 conf)
original_box__6 was OriginalBox6 (0.39 conf)
micro_box__7 was MicroBox7 (0.38 conf)
original_box__7 was OriginalBox7 (0.39 conf)
micro_box__8 was MicroBox8 (0.38 conf)
original_box__8 was OriginalBox8 (0.39 conf)
micro_box__9 was MicroBox9 (0.38 conf)
original_box__9 was OriginalBox9 (0.39 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

rcdsdisplog

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02