HomeMy WebLinkAboutRISK MANAGEMENT - 10/02/2014 City of Bremerton 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 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 Records Retention Schedule(CORE)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description Date Method of
Records Series Records Retention Minimum
Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See
volume,etc.) Met examples below*)
Claims for Damages GS50-01-10 CORE 6 years after claim closure '/: Bankers Box 2007 claims closed in 2007 12/31/13 Secure recycling
Rev.1 Agency Mgmt- for outside
Legal Affairs contractor
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 responsible for inventorying the listed records must sign below prior to the Record's Manager approval:
Employee Signature: Printed Name: Division:
The Records Manager must sign the approval of this red0est prior to the destruction of the listed records: ,p /)
Records Manager Signature: KA Printed Name: l r ��_�( l�Gr �l�G✓� Date Approved: /y
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: �/ Printed Name: � R fl moa CJI' Date Records Destroyed: 10/2 /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.
Form Revised 05/06/2014