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 Government Records Retention Schedule(COREJ).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description
Records Series Title Records Serfes Records Retention Minimum Retention Period (Box/Item numbers, Dates Covered Date Minimum Method of Destruction
DAN Schedule volume,etc.) Retention Met (See examples below•)
1.14 Risk G52010-081 Local 3 years after date of 1 redwell (3 2012 Incidents(over 18) 12/31/2015 Secure Recycling
Management/Insurance Rev. 2 Government incident inch)
CORE
*Examples of inethods of destruction:electronic deletion,in-house OR outside coniractor shredding,secure recyding,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 inventorying the listed records must sign below prior to the Record's Manager approval:
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Employee Signature: Printed Name: Thelma Swem Division: Risk Mana�ement
The Records Manager must sign the approval of this�equest prior to the destruction of the listed records:
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Records Manager Signature: Printed Name: Thelma Swem Date Approved: 1/5/16
The person/people responsible for the destructio of records must sign upon destruction of the listed records:
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Employee Signature. � rinted Name: Thelma Swem Date Records Destroyed: 1/5/16
Vendor Business Name(if used): �l�l l CI Phone:
VendorSignature: /1 / Q Printed Name: Date Records Destroyed:
The retention and disposition action for this Public Records Destrudion Log is"Retain for the life of the agency"pursuant to CORE series GS50-09-06.
Form Revised OS/06/2014