HomeMy WebLinkAboutHUMAN RESOURCES 07/28/2020 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
Description Date Method of
Records Series Records Retention Minimum
Records Series Title Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See
DAN Schedule Retention
volume,etc.) Met examples below*)
Recruitment/Hiring GS50-04A-05 Local Retain for 1 year after Unsolicited 07/25/2019 07/25/2020 Secure shredding
Rev. 1 Government received or responded to application for
Common then employment(1)
Records Destroy.
Retention
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:
Employee Signat Printed Name: Debbie Klinefelter Division: Human Resources
The Records Manager must sign the
64411,1401approval
of this request prior to the destruction of the listedrecords: ` ,n �c�
Records Manager Signature: Printed Name: l�r�. � - I b V ` Date Approved: -7/aC(/1R0..1�
The person/people responsible for the destruction of records must sign upon destruction of the listed records:Employee Signatu c ,`jt64, / j' 'rinted Name � rC�e?/l,k, Date Records Destroyed: 4/ao320
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