HomeMy WebLinkAboutPW&U ADMIN 04/03/2018City 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 Records
Records Series Title
Records series
Records Retention
Minimum Retention Period
Description
(Box/Item numbers,
Dates Covered
Date
Minimum
Method of
Destruction (See
DAN
Schedule
volume, etc.)
Retention
examples below*)
Met
Financial
GS2011-184
Local
Retain for 6 years after end
4 Boxes —
2007, 2008, 2009, 2010 and
1/1/2018
Outside
Transactions -
Rev. 3
Government
of fiscal year then Destroy.
Financial Reports
2011
Contractor
General
(CORE) Version
& Billing
Shredding
4.0 (May 2017)
Summaries
*Examples of methods 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 responsible for inventorying the listed records must sign below priortothe Record's
� Manager approval:
Employee Signature: Printed Name: H l I��� 1 j(AM }�
lI i n Division: pw V 1-1 7Yin I
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: Printed Name:_ 30-.46 N QVC �'&�V— Date Approved: `
a
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature:
Vendor Business Name (if u
Vendor Signature:
Form Revised 05/06/2014
Printed Na
Phone:
Printed Name:
Date Records Destroyed:
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 GS50-09-06.