HomeMy WebLinkAboutAUDITOR - 10/30/2015 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 Gove�nment Records Retention Schedule(CORE)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Date
Description Method of
Records Series Records Retention Minimum Retention Period Box Item numbers, Dates Covered Minimum Destruction See
Records Series Title DAN Schedule ( � Retention (
volume,etc.) Met examples below')
Rud;f �Skb' GrS S� - AeStroy whe„ S�c�.,�G
J�� 03F-o� oes�lo�c er- /Vq �An. — Det. �Gby �(/R r`�y�l:n /
IQc�¢rGr►� �i e✓ � ¢r
*Examples of inethods of destruction:electronic deletion,in-house OR autside contractor shredding,secure rerycling,other(describeJ
Statement: The public records listed above have met their minimum retention period(sJ, are not subject to ongoing or reasonab/y 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: w �' Q����= Printed Name: ��I�.S�k o� C �l��� '� Division: ���i"7�•��
The Records Manager must sign the approval of this equest prior to the destruction of the listed records:
�, � �'��'(..�'v ���� pp /D� �C��%
Records Manager Signature Printed Name: Date A roved:
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: Printed Name: Date Records Destroyed:
Vendor Business Name(if used): Phone:
Vendor Signature: Printed Name: Date Records Destroyed:
The retention and disposition action for this Public Records Destrudion Log is'Retain for[he life of the agency"pursuant to CORE series G550-09-06.
Form Revised OS/06/2014