HomeMy WebLinkAboutHUMAN RESOURCES 08/15/2018City 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
Employment
GS50-05A-
CORE
Retain for 3 years after
160 documents
Years between 2013 and July
Up to and
Shredded
Eligibility
26
date of hire
2018
including
Verification —
Rev. 2
or
July 2018
U.S. Citizenship
1 year after separation
and Immigration
from agency, whichever is
Services (USCIS)
later
then
Destroy.
*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 inv or a Iste rds must sign below prior to the Record's Manager approval:
Employee Signature- Printed Name: Division:
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature. Printed Name: fit 2&k� )VIA Date Approved:
The person/people responsible the destr aiee--efrecords must sign upon destruction of the listed records:
Employee Signat e: ` Printed Name:��. Q Date Records Destroyed:
Form Revised 05/06/2014