HomeMy WebLinkAboutCITY CLERK - 04/14/2016 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 ihan "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(CORE)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Date Method of
Records Series Records Retentlon Descriptfon: Mtnlmum
Records Sertes Tltle DAN Schedule Mlnimum Retentlon Perlod (Box/Item numbers, Dates Covered � Retentlon �structfon(See
volume,etc.) Met examples below•)
Communications— G52010-01 CORE 3.1 2 years Correspondence 2008 1/1/2011 Secure Recycling
Non-Executive Rev.3
Public Disclosure/ G52010-014 CORE 3.1 2 years after fulfilled Public Records Closed 2013 1/1/16 Secure Recycling
Public Records Rev. 2 Requests
Requests
*Examples of inethods of destruction:electronic deletion,!n-house OR outside contractor shredding,secure recycling,other(describe)
Statement: The public records listed above have met their minimum retention period(s), are not subject to ongoing or reasonably anticipated litlqation 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:
w ���.��(.��/`'V W�' ` l�Y�� �IVISIO�: �t �" `�`/ [�¢l���
Employee Signature:� __ i Printed Name:
The Records Manager must sign the approval of this request�rior to the destruction of the listed records:
Records Manager Signature: Printed Name: L �� �—C/��� Date Approved: �� /'r ` /�
The person/people respo ' le for the destruction of records must sign upon destruction of the listed records:
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�—U'�--1'�✓lL� �r L 11L Date Records Destro ed: �� { / �l�lL
Employee Signature: _ � Printed Name: Y
Vendor Business Name(if used): Phone:
Vendor Signature: Printed Name: Date Records Destroyed:
The refention and disposition action 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