HomeMy WebLinkAboutLEGAL - 02/18/2014 Local Government Public Records Destruction Log
The purpose of this form Is to document compliance and reasonable accountability by verifying that specific public records have met current, approved minimum
retention periods before being destroyed pursuant to RCW 40 14 070, WAC 434 - 610 -070, and WAC 434 - 640 -010, -020, and -030 Please fill out this form when
destroying all public records whose minimum retention is other than "Retain until no longer needed for agency business then destroy" (such as records covered In
the "Records with Minimal Retention Value" section of the Local Government Common Records Retention Schedule (CORE)
Legal Disposition Authority (taken from Records Retention Schedule) Agency Records
_ Description Agency
Method(s) of
Records Series Records Series Records Retention Minimum Retention Period (Box/item numbers, Dates Covered Minimum Destruction
Title DAN Schedule volume, etc) Retention (See examples,
Met below *)
General Advice GS53 -02- Retain until no Retain until no longer 3 boxes 2001 through 2008 secure recycling for
(destruction dates were 2/5/14 & outside contractor
Files 05 Rev 0 longer needed needed 2/18/14) shredding
*Examples of methods of destruction electronic deletion, in -house OR outside contractor shredding, secure recycling, other (describe)
Statement. The public records listed above have met their minimum retention period(s), are not subject to ongoing or reasonably
anticipated litigation or public records requests, are not needed for audit or other agency business, and shall be destroyed.
The Individual respo able for In entor Ing th =er s mu st sign below prior to the Records Manager's approval:
Emplo Si u ted Name Lelghann Denton Division City Attorney's Office
The Records Mana mus sign the appr val of t request prior to the destruction of the listed records.
Records Manager Signature i anted Name Thelma Swem Date Approved 02/18/14
The person /people esponsible f t d structlo of recor ust sign upon destruction of the listed records
Employee S natur anted Name Lelg hann Denton Date Records Destroyed 02/18/14
Vendor Business Name (if used) Phone
Vendor Signature Printed Name Date Records Destroyed
The retention and disposition action for this Public Records Destruction Log is 'Retain for the life of the agency" pursuant to CORE series GS50 -09 -06
This sample form was prepared by Washington State Archives as a courtesy to local government agencies in January, 2014
It may be modified to meet individual agency needs