After markings have been placed on a pre-printed form by a user who interacted with an entity, the form is scanned to produce a scan file. The scan file is analyzed to identify whether user added markings are present on machine readable selection items. The method can take a number of automated actions, depending upon which pre-printed machine readable selection items were checked by the user. For example, in response to checkbox selections, the method can obtain (read) some form of electronically storable data relating to the entity based on which of the machine readable selection items the user checked. Alternatively, in response to other checkbox selections, the method can ignore the user added markings on the machine readable selection items. In addition, in response to the checkmarks, the system can maintain only an image of the user added handwritten text. Alternatively, the system can be instructed to not only maintain an image of the user added handwritten text, but to automatically forward the image of the user added handwritten text to a transcription center.