HomeMy WebLinkAboutCITY CLERK - 03/29/2016 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 orher than "Retain until no longer needed for agency business then destroy" (such as records covered in the "Records with Minimal Retention
Value"sedion of the Loca/Government Records Retention Schedule(COREJ).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Retords
Descrlption Date Method of
Records Scries Tltle Records Series Records Retention ry�tntmum Retent(on Period Dates Covered Minimum pestrudion(See
DAN Schedule (8ox/ttem numbers, RetenUon
volume,etc.) Met examples below•)
Collective GS50-01-50 CORE Version Termination Plus 6 years BPOG Expiring December 31,2005 1/1/2012 Secure Recycling
Bargaining Rev.O 3.1 BPMA
Agreements IAFF Local 437
Teamsters 589
Collective G550-01-50 CORE Version Termination Plus 6 Years BPOG Expiring December 31,2008 1/1/2015 Secure Recycling
Bargaining Rev.O 3.I BPMA
Agreements IAFF Local 437
Teamsters 589
*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 subjed to ongoing or reosonab/y anticipated litigotlon or
public records requests, are not needed for audit or other agency business,and shall be destroyed.
The individual responsibl or inventorying the listed records aiust sign below prior to the Record's Manager approval:
Employee Signature: Printed Name: ��r1{���Vl �����- Division: h�h`�L/ �-!�� C�'lG�ri�
The Records Manager must sign t approval of this request prior to the destruction of the listed records:
; .
Records Manager Signature: Printed Name: � �11-n� ��r�� Date Approved: ��o� /'/�
The person/people respon 'ble for the destruction of records must sign upon destruction of the listed records:
, ✓
Employee Signature: Printed Name: ��n l�� ����'� 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 Destruction Log is'Retain for the life of the agency"pursuan[to CORE series G550-09-06.
Form Revised 05/06/2014