HomeMy WebLinkAboutRISK MANAGEMENT 01/13/2020 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
Date Method of
Records Series Title Records Series Records Retention Minimum Retention Period Description(Box/Item Dates Covered Minimum Destruction(See
DAN Schedule numbers,volume,etc.) Retention
Met examples below*)
Accidents/Incidents- GS2010-081 Local Retain for 3 years after 1 redwell 2016 Accidents/Incidents 12/31/19 Secure recycling
No Claim Filed(Age 18 Rev. 2 Government date of incident then 1/13/20.
&Older) CORE Version destroy.
4.0
*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 inventoryi t listed recor s must sign below prior to the Record's Manager approval:
Employee Signature:) \ in me) Melisa Vaal Folmer Division: City Attorneys Office
The Records Manager must sign the aOrov I of i req est prior to the destruction of the listed records:
Records Manager Si na re: d�f(Jame: Melisa Vaal Folmer Date Approved:1/13/20
The person/people responsible r the est io o recor must sign upon destruction of the listed records:
Employee Sig atur ( in e • elisa Vaal Folmer Date Records Destroyed: 1/13/20
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