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HomeMy WebLinkAboutHUMAN RESOURCES 01/21/2020 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*) Leave/Overtime— GS2017-010 CORE 6 years after expiration of 2 documents May 22 & 23, 2013 & May 29, 06/03/19 Outside Non Routine Rev.0 leave period or denial of d¢YKAft 2013 thru May 31, 2013 Contractor request and no longer need Shredding for agency business Leave/Overtime— GS50-04B-09 CORE 4 years after end of fiscal 199 documents January 1, 2011 thru 12/31/19 Outside Routine Rev. 2 year or until completion of Ae.yrtvl December 31, 2015 Contractor State Auditor's examination Shredding report,whichever is sooner *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 inventory' the listed records ust sign below prior to the Record's Manager approval: `1 Employee Signature: Printed Name: � Cl� � � Division: \C- C\-C\ The Records Manager must sign the ap val of this request priorr to the destruction of the listed records: �/� I Records Manager Signature: Printed Name: �!�o 4� ��©V l Date Approved: I ( -' old �O The person/people responsible fort P destruction of records must sign upon destruction of the listed records: \(�\ (�`�y/�� Employee Signat e: Printed Name:\—k '�.`J�� Date Records Destroyed: V l\\\ �V�l� 1 1 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