HomeMy WebLinkAboutHUMAN RESOURCES 01/28/2020 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
Records Series Records Retention Description(Box/Item Date Method of Destruction
Records Series Title Minimum Retention Period numbers,volume,etc.) Dates Covered Minimum
DAN Schedule
Retention Met (See examples below•)
Employee Benefits— GS2017-008 Local Government Retain for 6 years after Unemployment 2013 12/31/19 Secure shredding
Claims and Appeals Rev.0 Common Records benefit/beneficiary payment claims and related
Retention completed or denied and 6 correspondence
Schedule years after expiration of appeal
then Destroy
Recruitment/Hiring GS50-04A-05 Local Government Retain for 1 year after received Unsolicited job 2012 12/31/13 Secure shredding
Employment Rev.1 Common Records or responded to then Destroy applications and
Inquiries Retention resumes
Schedule
*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 listed records must sign below prior to the Record's Manager approval:
c
Employee Signatu rinted Name: Debbie Klinefelter Division: Human Resources
The Records Manager must sign th p oval of this request prior to the destruction
/sttr�uction of the listed records: c�
Records Manager Signature: L/ ,,,e ��/ Printed Name: Charlotte Nelson Date Approved: i/�g7,?0��
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signatur • Printed Name: Debbie Klinefelter Date Records Destroyed: 1/28/2020
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.
R:\Human Resources\HR\Human Resources\Records Destruction Log\2019.01.29 Destruction Log.docx
Form Revised 05/06/2014