HomeMy WebLinkAboutLEGAL 01/07/2021 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*)
3.5 Payroll GS50-03E-15 Local Retain for 4 years after Binder of 2016 2016 Volunteer Timesheets 12/31/20 Secure recycling
Rev. 1 Government end of fiscal year and Volunteer 1/7/21.
CORE Version no longer needed for timesheets
4.0 agency business then
destroy.
4.2 Employee Benefits SG2017-007 Local Retain for 3 years after Redwell of 2017 WC 2017 WC Loss Runs 12/31/20 Secure recycling
Rev.0 Government end of calendar year Loss Rt,nc 1/7/21.
CORE Version and no longer needed
4.0 for agency business
then destroy. RECEIVED
3.1 Accounting G52011-184 Local Retain for 6 years afte, WC Check Registers 12/31/20 Secure recycling
Rev. 3 Government end of fiscal year then JAN 0 8 2021 1/7/21
CORE Version destroy.
4.0 OFFICE OF THE
*Examples of methods of destruction:electronic deletion,in-hou CITY CLERK ure 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 inventoryin the listed ecords must sign below prior to the Record's Manager approval:
Employee Signatur@5L-, i Pri t ame•' Melisa Vaal Folmer Division: City Attorney's Office
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
i
Records Manager Signature ITA-(43rinte Name: Melisa Vaal Folmer Date Approved: 1/7/21
The person/people responsible for the estruction f records must sign upon destruction of the listed records:
� i 1
,\
Employee�riaturC►: 1 Pin arrb: Melisa Vaal Folmer Date Records Destroyed: 1/7/21
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