Annual Records Disposition Authority (RDA) Implementation Report for Health Care Authorities and Public Hospitals

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After this Annual RDA Implementation Report form has been submitted, you will receive an email from the Alabama Department of Archives and History (ADAH) with a copy of your completed report.

Health Care Authority/Public Hospital Name:
*

Health Care Authority/Public Hospital Mailing Address:
*

Health Care Authority/Public Hospital Mailing City:
*

Health Care Authority/Public Hospital Mailing Zip Code:
*

Reporting year: *

Today's date: *

YYYY

Is this report being submitted on behalf of multiple facilities?
*

Yes

If you answered YES to the previous question, please list the names of the included facilities below:

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