HomeMy WebLinkAboutRISK MANAGEMENT - 01/19/2016 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) Agenty Records
Records Series TiUe Records Series Records Retention Minfmum Retention Perfod Description(Box/Item Dates Covered Date Minimum Method of Destruction
DAN Schedule numbers,volume,etc.) Retention Met (See examptes below )
1.10 Meetings and GS50-01-43 Local 2 years after end of Safety& Health 2011-2013 1/1/2014- Secure Recycling
Hearings Rev. 1 Government calendar year Committee Meeting 1/1/16
CORE minutes
1.10 Meetings and GS50-01-43 Local 2 years after end of Safety& Health 2011-2013 1/1/14— Secure Recycling
Hearings Rev. 1 Government calendar year Committee Meeting 1/1/16
CORE Agendas
*Examples of inethods of destrucrion:electronic deletion,in-house OR outside contractor sh�edding,secure recycling,other(describe)
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 oudit or other agency business, and shall be destroyed.
The individual responsible for inventorying the�isted records must sign below prior to the Record's Manager approval:
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Employee Signature:`,,Irf��-�' t�[i�U`�/Lt ��� Printed Name: Thelma Swem Division: Risk Mana�ement
The Records Manager must sign the approval of this reqj�st prior to the destruction of the listed records:
g g � � � C��r/G� [Ji��/( 'nted Name: Thelma Swem Date Approved: 1/19/16
Records Mana er Si nature:� �,�
The person/people responsible for the destruction of rec•rds must sign upon destruction of the listed records:
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Employee Signatur s �� .(/1,( - ,r�,er�-Plame: Thelma Swem Date Records Destroyed: 1/19/16
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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 the life of the agency'pursuant to CORE series G550-09-06.
Form Revised 05/06/2014