HomeMy WebLinkAboutAttroney's Office - 09/17/2012 FOR USE BY THE CITY OF BREMERTON
Public Records Destruction Log
Request for In -House Destruction
To comply with RCW 40 14 060, WAC 434 - 610 -070, and WAC 434 - 640 -010, 020, and 030, it is vital
that public records be destroyed according to their approved retention periods Therefore, the
purpose of this form is to verify compliance and reasonable accounta provin specific public
records have clearly meta proved retention periods for disp osal Please fell out this fo for publle
records disposal In -house with an a retention ep rlod greater than 1 yearj THE RETENTION
PERIOD FOR THIS FORM IS PERMANENT AS STATED IN THE LOCAL GOVERNMENT
GENERAL RECORDS RETENTION SCHEDULE (GS5- 09 -06).
DA =TE '� ` DIVISIONISECTION' - r RECORDS OFFICER y
September 17, 2012 1 City Attorney's Office Thelma Swem
BOX NUMBERS ' RECORDS SERIES DAN INCLUSIVE DATES `RETENTION PERIOD DATE DESTROYED
1 file GS2010 -081 2006 Incidents File 3 years September 17,
Rev 01 2012
All public records listed have been identified to be at the end of their designated retention period,
have no need to be retained for audits, lawsuits, public records request or program requirements and
shall be destroyed
The individual who is responsible for destroys a listed records must sign below prior to the Records Officer signature
approval
Employee Sig ure c Date
Employee Name (Please rant c early) r ��
The Records Officer must sign the approval of this reque nor to the destruction of the listed records
Records Officer Signature Date n 'l- / '7-
1 _
THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY