Schedule a Delivery Internet Login      Digital Imaging Information Request Name (required)     Company (required)     Address     City State Zip   Phone Number     E-Mail Address (required)     Please tell us about your project    What paper-type are your documents? (check all that apply)    Letter Paper (8.5" x 11")  Legal Paper (8.5" x 14")  Photographs (all sizes)  Microfilm / Microfiche  Radiology (X-Rays)  Index Cards  Architectural Drawings  Other     Estimated Number of Documents Est. Average # of Pages per Document   How Many Indexes per Document? Are the pages single or double-sided? Single-Sided Double-Sided Both single-sided and double-sided    If you selected "single-sided" above, do blank sides of pages need to be stamped "BLANK PAGE" and captured? (common for medical records)    No  Yes  Not Sure      How are your documents presently separated? (check all that apply)    Staples  Attached to folders via metal tabs  Loose paper in folders  Paper Clips  Binders (3-ring)  Book Bound  Velo or Spiral Bound  Other    Do the documents need to be reassembled after imaging?  No  Yes      After imaging, what shall we do with your original documents?   Please return them to me. Please destroy them. Please store them in your warehouse. Other      If known, what is the retention period of your documents?      If you have color documents, do you want them captured in color?  No  Yes      How do you plan to access your digital images?    CD/DVD-ROM   Via CRM's Secured Web Site   Other   Not Sure      Additional Information / Comments / Questions         ©2008 Chicago Records Management. All rights reserved e-mail   800-678-2004