Loading...
HomeMy WebLinkAboutFINANCE - 11/16/2015 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 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"`) foiart6 ail GS 2,011 - Co yews aF*- Z di a.A ly cask. ©vts+ct.e. .vraa,s ac rs \coy vsev Z C,0 R¢- er,d o� fi S -iroxisn- l Ha/is (of( !X, - 12./;j /o(,, 111/ 13 c on-W c-FvYt 'r `'1 nirict► at l sYU2e.d d r5 c.timaxtcl a l Ci S2o11- (2 yec is,s a -tee. Rece1 FA- ou-Ki e. x,4rasacA onS 14s1-) Rev 2 CAYRE end of- s co-A yecx-R l000ks '1 i J to 1 t)1- 7_/ t /D5 t/ 1/12 CArt-rc-cto2 crn t,r-a-1 sh Izecict i rn oaricla.1 C-rs2411- Ur La:ea c s a...C--4-eR cicc.,(y cast,4- OU-KCCLe .yearn 50,CA i 0n& rt%ri Rev 2 CARS er d oc -E,'s ca.i clear& {rCuv r,N•,-HCIAS 5131 ✓ - ct I✓1 s/0°-► 1/t / 1 i c o;�+rC C-Folt e-rLn ra.a.1 a+ic( t .CQ i P+S sh Re d ciA v�q *Examples of methods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe) J 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( �� ��recoor�rds must sign below prior to the Record's Manager approval: Employee Signature: ea. `i " '1/ e._ . U.k.A X- Printed Name: t,O R,1YUq C k.,0 Division: PCURK•S S 't ecRea-[I OVt The Records Manager must sign e approval of this request prior to the destruction of the listed records: / f Records Manager Signature: — r Printed Name: f CW K1 i U1't OUr: v> Date Approved: / /. . 6 j The person/people responsible for the destruction of records must sign upon destruction of the listed records: Employee Signature: Printed Name: 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 Destruction Log is"Retain for the life of the agency"pursuant to CORE series GS50-09-06, Form Revised 05/06/2014