HomeMy WebLinkAboutRISK MANAGEMENT - 01/10/2013 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 accou ntability provin specific public
records have clearl met approved retention periods for dIS op sal ; Please fill out this form f or public
records disposal In -house with an approved retention period g reater than 1 y ear, TH RETENTION
TENTION
PERIOD FOR THIS FORM IS PERMANENT AS STATED IN THE LOCAL GOVERNMENT
GENERAL RECORDS RETENTION SCHEDULE (GS5- 09 -06).
DATE I DIVISION/SECTION RECORDS OFFICER
January 10, 2013 1 Risk Management Thelma Swem
BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD DATE DESTROYED
GS50 -01 -43 January 1, 2010 2 years January 10, 2013
Rev 1 through December 31,
2010
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 destroying the listed records must sign below prior to the Records Officer signature
approval
Employee Slgna re Date
Employee Name (Please print clearly)
The Records Officer must sign the approval of thl request for to the destruction of the listed records
Records Officer Signature Date l_ ICS - / 3
THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY