HomeMy WebLinkAboutRISK MANAGEMENT - 01/05/2016 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 Governmeni Records Retention Schedule(CORE)).
legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description
Records Series Records Retention Date Minimum Method of Destruction
Records Serfes Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Met
volume,etc.) (See examples below*)
1.8 Legal Affairs G550-01-10 Local 6 YEARS AFTER CLAIM 2 BANKERS' BOX 2007, 2008,and 2009 12/31/2015 Secure Recycling
Rev. 1 Government CLOSED Claims closed in 2009
CORE
*Examples of inethods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describeJ
Statement: The public records listed above have met their minimum retention period(s), 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 inventor ing the I' d records must sign below prior to the Record's Manager approval:
Employee Signature: � / � ' ted Name: Thelma Swem Division: Risk Manasement
The Records Manager must sign the approval of this requ prior to the destruction of the listed records:
Records Manager Signature: O. ' ' ed Name: Thelma Swem Date Approved: 1/4/16
The person/people responsible r the destructio f records must sign upon destruction of the listed records:
Employee Signature: ` i"lit (�� v' —F�rinted Name: Thelma Swem Date Records Destroyed: 1/4/16
Vendor Business Name(if used): � Phone:
Vendor Signature: Printed Name: Date Records Destroyed:
The retention and disposition oction for this Public Records Destruction Log is"Retain for the life of the agency'pursuant to CORE series G550-09-06.
Form Revised 05/06/2014