HomeMy WebLinkAboutCITY CLERK - 04/20/2016 (2) 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(CORE)).
Legal Disposition Authority�taken from Records Retention Schedule) Agency Retords
Descrlptlon Date Method of
Records Serles Tftle Records Serles Recortls Retentlon �q���mum Retentlon Perlod Dates Covered Mfnlmum Destructlon(See
DAN Schedule (Box/Item numbers, Retentlon
volume,etc.) Met examples below•)
Communications= GS2010-001 CORE 3.1 2 years Correspondence 2007-2014 1/1/2016 Secure Recycling
Non-Executive Rev.3
Grant/Scholarship GS50-03C-07 CORE 3.1 1 year after notification Denial Letter 1/27/11 1/27/12 Secure Recycling
Applications—Not Rev. 1
Approved
*Examples of inethods of destruction:electronic deletion,in-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 litigation or
public records requests,are not needed for audit or other agency business, and shall be destroyed.
The individual responsi for inventorying the listed r�cords 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 approval this request prior to the destruction of the listed records:
Records Manager Signature: Printed Name: Shannon L.Corin Date Approved: � "Z���l �
The person/people respo si e for the destruction of records must sign upon destruction of the listed records:
J .
Employee Signature: Printed Name: Shannon L,Corin Date Records Destroyed: ( ����/ �'
Vendor Business fVame(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"pursuant to CORE series G550-09-06.
Form Revised 05/O6/2014