HomeMy WebLinkAboutLEGAL 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 Records Retention Description(Box/Item Minimum
Records Series Title DAN Schedule Minimum Retention Period numbers,volume,etc.) Dates Covered Retention Destruction(See
Met examples below*)
Records with GS50-02-04 Local Retain until no longer 2017 Budget& 01/01/2017—12/31/2017 12/31/2019 Secure Recycling
minimal retention Rev. 2 Government needed for agency business, Payroll on 01/13/2020.
value—Transitory CORE then destroy.
Records.
*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 li d records must sign below prior to the Record's Manager approval:
Employee Signature: Printed Name: Stephanie Olson Division: City Attorney's Office-Legal
The Records Manager must sign e approval of this re uest prior to the destruction of the listed records: ^ ,� �.r�
Records Manager Signature: Printed Name: Stephanie Olson Date Approved: ; ' 1 3 •a r/
The person/people respon ' le for the destructs f records must sign upon destruction of the listed records: ,,
Employee Signature: C/ -yCJ Printed Name: Stephanie Olson Date Records Destroyed: 1 . )3' v �'a
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