HomeMy WebLinkAboutLEGAL - 01/05/2016 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) Agency Records
Description Date Method of
Records Series Records Retention Minimum
Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See
volume,etc.) Met examples below")
Litigation Case Files GS53-02-04 CORE VERSION Retain for 10 years after case File nos: 179, Closed in 2005 12/31/15 Secure recycling
Rev. 1 3.2 closed (Archive Appraisal 144, 206, 304, on 4/1/16
Required) 287, 290
Litigation Case Files GS53-02-04 CORE VERSION Retain for 10 years after case File nos.: 287 Closed in 2005 12/31/15 Secure recycling
Rev. 1 3.2 closed (Archive Appraisal 245, 239, 242, on 6/24/16
Required) 141, 254
Litigation Case Files G553-02-04 CORE VERSION Retain for 10 years after case File nos.: 3, 238, Closed in 2005 12/31/15 Secure recycling
Rev. 1 3.2 closed (Archive Appraisal 229, 204 on 8/26/16
Required)
Litigation Case Files GS53-02-04 CORE VERSION Retain for 10 years after case Risk Mng. Closed in 2005 12/31/15 Secure recycling
Rev. 1 3.2 closed (Archive Appraisal litigation files on 4/1/16
Required) closed in 2015
*Examples of inethods of desiruction: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 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 li ed records must sign below prior to the Record's Manager approval:
� ' `_VIr � �r v� - �S
Employee Signature: •� Printed Name: � �� Gk �C1�,-�/L-- Division:
�r�' � ��
The Records Manager must sign the approval of this r uest prior to the destruction of the listed records•
Records Manager Signatur . G� Printed Name: 1% � �� !� Date Approved: �
� �� S�;a-�-e
The person/people responsible for the destructio of records must sign upon destruction of the listed records: Qn•� �� �t S -�-
Employee Signature: �� wC�(ti� Printed Name: �T'�,� Q �(iLf f'_�,�P �/�- Date Records Destroyed: � Q_��T
Vendor Business Name(if used): Phone:
Vendor Signature: Printed Name: Date Records Destroyed:
Form Revised OS/06/2014