HomeMy WebLinkAboutCITY CLERK - 04/20/2016 City of Bremerton Public Records Destruction Log
The purpose of this form is to document comptiance 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 Recention Schedule(CORE)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Descrlptlon Date Method of
Records SeHes Title Records SeNes Records Retentlon Mlnlmum Retentlon Perlod f Box/Item numbers, Dates Covered ����mum Destruction(See
DAN Schedule volume,etc.) Re Met°� examples below•)
Citizen Complaints/ G550-01-09 CORE 3.1 3 years after matter closed Citizen 2008-2012 1/1/2016 Secure Recycling
Requests Rev. 1 Complaints&
Responses
*Examples of inethods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recyding,other(describeJ
Statement: The public records listed above have met their minimum retention period(s), are not subject to ongoing or reasonably 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:
Employee Signature: Printed Name: Shannon L Corin Division: Citv Clerk/Finance
The Records Manager must sig appro f this request p�ior to the destruction of the listed records:
Records Manager Signature: Printed Name: Shannon Corin Date Approved: �� ��� '�
The person/people resp a,sible for the destruction of records must sign upon destruction of the listed records: ,
` � ,
Employee Signature: Printed Name: Shannon Corin 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 Destrudion Log is'Retain for the life of the agency"pursuant to CORE series G550-09-06.
Form Revised 05/O6/2014