HomeMy WebLinkAboutCITY CLERK - 01/13/2014 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 accountability provin s pecific publ
re cords have c learly met a pproved retention periods for disposal Please fill out this form for pub lid
records disposal in -house with an a retention period g reater than 1 y ear F THE RETENTION
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
1/13/14 1 City Clerk Shannon Corin
BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD DATE DESTROYED
email GS2010 -014 2011 2 years after 1/13/14
electronic files Rev 2 fulfilled
files
i
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 Signature Date � �3
Employee Name (Please print clearly) (imA—
The Records Officer must sign the approval of t is request prior to the destruction of the listed records
Records Officer Signature Date ! ' ,2 '14Z
THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY